JERRY OWEN SHIPKIN - Pharmacist License in Illinois | # 051029251

JERRY OWEN SHIPKIN

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029251

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2014