JEROME LEE DAGRAEDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063058

License Status

NOT RENEWED

Business

First Name

JEROME LEE

Last Name

DAGRAEDT

Business Name

JEROME LEE DAGRAEDT

Original Issue Date

03/07/1975

Effective Date

03/07/1975

Expiration Date

03/31/2000

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005