JONAH D ANSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154815

License Status

NOT RENEWED

Business

First Name

JONAH

Middle

Last Name

ANSELL

Business Name

JONAH D ANSELL

Original Issue Date

06/08/2004

Effective Date

06/08/2004

Expiration Date

03/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005