JACOB LUKE BERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267760

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

LUKE

Last Name

BERRY

Business Name

JACOB LUKE BERRY

Original Issue Date

09/09/2019

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022