JAKE WAYNE TEMPLE - Pharmacist License in Illinois | # 049266621

JAKE WAYNE TEMPLE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266621

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021