JAN L IWATA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038639

License Status

INACTIVE

Business

First Name

JAN L

Last Name

IWATA

Business Name

JAN L IWATA

Original Issue Date

10/16/1991

Effective Date

10/16/1991

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60659

Ever Disciplined

LastModifiedDate

10/17/2005