JERRY KIEFER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057122

License Status

NOT RENEWED

Business

First Name

JERRY

Last Name

KIEFER

Business Name

JERRY KIEFER

Original Issue Date

11/30/1971

Effective Date

11/30/1971

Expiration Date

01/01/1997

City

CHAMPAIGN

State

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005