JASON R TIPTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154541

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

TIPTON

Business Name

JASON R TIPTON

Original Issue Date

05/21/2004

Effective Date

02/10/2009

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010