JAKE SPENCER ANTENORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244776

License Status

NOT RENEWED

Business

First Name

JAKE

Middle

SPENCER

Last Name

ANTENORE

Business Name

JAKE SPENCER ANTENORE

Original Issue Date

09/19/2016

Effective Date

03/21/2018

Expiration Date

03/31/2019

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019