JEROME R QUALKENBUSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076304

License Status

NOT RENEWED

Business

First Name

JEROME R

Last Name

QUALKENBUSH

Business Name

JEROME R QUALKENBUSH

Original Issue Date

04/08/1982

Effective Date

04/08/1982

Expiration Date

03/31/1986

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005