JON ROSS CLOSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162075

License Status

NOT RENEWED

Business

First Name

JON

Middle

ROSS

Last Name

CLOSEN

Business Name

JON ROSS CLOSEN

Original Issue Date

07/05/2005

Effective Date

02/04/2011

Expiration Date

03/31/2012

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012