JAKE H WIDLAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223024

License Status

NOT RENEWED

Business

First Name

JAKE

Middle

Last Name

WIDLAK

Business Name

JAKE H WIDLAK

Original Issue Date

01/21/2014

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2015