JERICO BUTACAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286646

License Status

NOT RENEWED

Business

First Name

JERICO

Last Name

BUTACAN

Business Name

JERICO BUTACAN

Original Issue Date

10/21/2021

Effective Date

10/21/2021

Expiration Date

05/31/2022

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/27/2022