JASON R CATES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157894

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

CATES

Business Name

JASON R CATES

Original Issue Date

11/16/2004

Effective Date

11/16/2004

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005