JERRY DEAN CUNNINGHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058806

License Status

NOT RENEWED

Business

First Name

JERRY DEAN

Last Name

CUNNINGHAM

Business Name

JERRY DEAN CUNNINGHAM

Original Issue Date

12/09/1972

Effective Date

12/09/1972

Expiration Date

01/01/1997

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005