JASON ADAM NOVAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175235

License Status

NOT RENEWED

Business

First Name

JASON

Middle

ADAM

Last Name

NOVAK

Business Name

JASON ADAM NOVAK

Original Issue Date

04/02/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

FRANKSVILLE

State

Zip

53126

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2009