JASON W BORLICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144312

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

BORLICK

Business Name

JASON W BORLICK

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

03/31/2004

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005