JEAN E SALATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159500

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

Last Name

SALATA

Business Name

JEAN E SALATA

Original Issue Date

03/08/2005

Effective Date

03/02/2016

Expiration Date

03/31/2017

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/10/2017