JASON S LILLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158182

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

LILLY

Business Name

JASON S LILLY

Original Issue Date

12/07/2004

Effective Date

12/07/2004

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/17/2007