JORGE LUIS CASASOLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254857

License Status

NOT RENEWED

Business

First Name

JORGE

Middle

LUIS

Last Name

CASASOLA

Business Name

JORGE LUIS CASASOLA

Original Issue Date

12/07/2017

Effective Date

12/07/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018