JACK RONALD FETTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034096

License Status

NOT RENEWED

Business

First Name

JACK RONALD

Last Name

FETTMAN

Business Name

JACK RONALD FETTMAN

Original Issue Date

11/03/1981

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021