JEROME R EISEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052099

License Status

NOT RENEWED

Business

First Name

JEROME R

Last Name

EISEN

Business Name

JEROME R EISEN

Original Issue Date

01/01/1997

Expiration Date

03/31/2003

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005