JERRY MOELLERING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069262

License Status

NOT RENEWED

Business

First Name

JERRY

Last Name

MOELLERING

Business Name

JERRY MOELLERING

Original Issue Date

04/28/1978

Effective Date

04/28/1978

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005