JACK DONALD KNUDTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030708

License Status

NOT RENEWED

Business

First Name

JACK DONALD

Last Name

KNUDTSON

Business Name

JACK DONALD KNUDTSON

Original Issue Date

12/18/1975

Effective Date

03/05/2020

Expiration Date

07/31/2022

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/14/2022