JASON EUGENE PETREA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144396

License Status

NOT RENEWED

Business

First Name

JASON

Middle

EUGENE

Last Name

PETREA

Business Name

JASON EUGENE PETREA

Original Issue Date

08/30/2002

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

CENTRALIA

State

Zip

62801

County

CLINTON

Ever Disciplined

LastModifiedDate

05/07/2012