JAY THOMAS DAVID Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156855

License Status

NOT RENEWED

Business

First Name

JAY

Middle

THOMAS

Last Name

DAVID

Business Name

JAY THOMAS DAVID

Original Issue Date

08/23/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009