JERRY LEE BUMPHREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061735

License Status

NOT RENEWED

Business

First Name

JERRY LEE

Last Name

BUMPHREY

Business Name

JERRY LEE BUMPHREY

Original Issue Date

06/21/1974

Effective Date

06/21/1974

Expiration Date

01/01/1997

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005