JASON THOMAS TELLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190179

License Status

NOT RENEWED

Business

First Name

JASON

Middle

THOMAS

Last Name

TELLOCK

Business Name

JASON THOMAS TELLOCK

Original Issue Date

03/10/2009

Effective Date

03/10/2009

Expiration Date

03/31/2010

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010