JERRY OWEN SHIPKIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029251

License Status

INACTIVE

Business

First Name

JERRY OWEN

Last Name

SHIPKIN

Business Name

JERRY OWEN SHIPKIN

Original Issue Date

08/05/1972

Effective Date

02/02/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/09/2014