JACK IRA BEILFUSS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034303

License Status

INACTIVE

Business

First Name

JACK IRA

Last Name

BEILFUSS

Business Name

JACK IRA BEILFUSS

Original Issue Date

07/13/1982

Effective Date

07/13/1982

Expiration Date

03/31/1988

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005