JACK C IRVINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039566

License Status

NOT RENEWED

Business

First Name

JACK C

Last Name

IRVINE

Business Name

JACK C IRVINE

Original Issue Date

10/18/1993

Effective Date

01/16/2014

Expiration Date

03/31/2016

City

BASTROP

State

Zip

71220

County

LOUISIANA

Ever Disciplined

LastModifiedDate

05/20/2016