JASON RICHARD HASQUIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164377

License Status

INACTIVE

Business

First Name

JASON

Middle

RICHARD

Last Name

HASQUIN

Business Name

JASON RICHARD HASQUIN

Original Issue Date

10/05/2005

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/06/2015