JERRY RUSSELL SKOVRONSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140868

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

RUSSELL

Last Name

SKOVRONSKI

Business Name

JERRY RUSSELL SKOVRONSKI

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2005

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

10/20/2005