VALA K JACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262573

License Status

NOT RENEWED

Business

First Name

VALA

Middle

Last Name

JACK

Business Name

VALA K JACK

Original Issue Date

01/03/2019

Effective Date

01/03/2019

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/08/2021