JERALD E BORMIDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058416

License Status

NOT RENEWED

Business

First Name

JERALD E

Last Name

BORMIDA

Business Name

JERALD E BORMIDA

Original Issue Date

09/23/1972

Effective Date

09/23/1972

Expiration Date

01/01/1997

City

STANDARD CITY

State

Zip

62686

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005