JAKE T WHITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184202

License Status

NOT RENEWED

Business

First Name

JAKE

Middle

Last Name

WHITE

Prefix

Business Name

JAKE T WHITE

Original Issue Date

05/09/2008

Effective Date

12/03/2009

Expiration Date

03/31/2010

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010