JAKE PERCY CHANGELON DC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225046

License Status

NOT RENEWED

Business

Title

First Name

JAKE

Middle

PERCY

Last Name

CHANGELON

Business Name

JAKE PERCY CHANGELON DC

Original Issue Date

05/07/2014

Effective Date

03/31/2017

Expiration Date

03/31/2018

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018