JERRY LEE MAYBERRY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055073

License Status

CANCELLED

Business

First Name

JERRY LEE

Last Name

MAYBERRY

Business Name

JERRY LEE MAYBERRY

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

10/17/2005