JACK R THOMPSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029750

License Status

NOT RENEWED

Business

First Name

JACK R

Last Name

THOMPSON

Business Name

JACK R THOMPSON

Original Issue Date

09/12/1973

Effective Date

09/12/1973

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005