JUSTIN J CHAMPION Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210168

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

CHAMPION

Prefix

Business Name

JUSTIN J CHAMPION

Original Issue Date

04/05/2012

Effective Date

02/25/2013

Expiration Date

03/31/2014

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

05/06/2014