JAKE WAYNE TEMPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266621

License Status

NOT RENEWED

Business

First Name

JAKE

Middle

WAYNE

Last Name

TEMPLE

Business Name

JAKE WAYNE TEMPLE

Original Issue Date

07/11/2019

Effective Date

07/11/2019

Expiration Date

09/30/2020

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/08/2021