JAKE A GRIFFIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163697

License Status

NOT RENEWED

Business

First Name

JAKE

Middle

Last Name

GRIFFIN

Business Name

JAKE A GRIFFIN

Original Issue Date

09/09/2005

Effective Date

03/11/2011

Expiration Date

03/31/2012

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012