JASON KENNETH ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142231

License Status

NOT RENEWED

Business

First Name

JASON

Middle

KENNETH

Last Name

ALLEN

Business Name

JASON KENNETH ALLEN

Original Issue Date

05/08/2002

Effective Date

05/08/2002

Expiration Date

03/31/2006

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006