JEROME HERBERT SIEGEL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027278

License Status

INACTIVE

Business

First Name

JEROME HERBERT

Last Name

SIEGEL

Business Name

JEROME HERBERT SIEGEL

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

FOUNTAIN HILLS

State

Zip

85268

County

ARIZONA

Ever Disciplined

LastModifiedDate

12/06/2005