JACK RAPHAEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021087

License Status

NOT RENEWED

Business

First Name

JACK

Last Name

RAPHAEL

Business Name

JACK RAPHAEL

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005