JASON M KELLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155673

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

KELLEN

Business Name

JASON M KELLEN

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

03/31/2005

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005