JACK C ATWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022602

License Status

NOT RENEWED

Business

First Name

JACK C

Last Name

ATWOOD

Business Name

JACK C ATWOOD

Original Issue Date

01/01/1997

Effective Date

03/14/2016

Expiration Date

03/31/2018

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

06/19/2018