RALPH G JERUTKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150145

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

JERUTKA

Business Name

RALPH G JERUTKA

Original Issue Date

08/21/2003

Effective Date

01/14/2015

Expiration Date

03/31/2016

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2016