JILL SARAH PROSK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156098

License Status

NOT RENEWED

Business

First Name

JILL

Middle

SARAH

Last Name

PROSK

Business Name

JILL SARAH PROSK

Original Issue Date

07/20/2004

Effective Date

07/20/2004

Expiration Date

03/31/2006

City

HAMMOND

State

Zip

46320

Ever Disciplined

LastModifiedDate

05/11/2006