JACOB J GENDRON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203813

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

GENDRON

Prefix

Business Name

JACOB J GENDRON

Original Issue Date

04/24/2011

Effective Date

01/14/2013

Expiration Date

03/31/2014

City

CONGERVILLE

State

Zip

61729

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/06/2014