JERRY R EGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060244

License Status

NOT RENEWED

Business

First Name

JERRY R

Last Name

EGAN

Business Name

JERRY R EGAN

Original Issue Date

09/14/1973

Effective Date

09/14/1973

Expiration Date

01/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005