JEROLD A MC KENZIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092132

License Status

NOT RENEWED

Business

First Name

JEROLD A

Last Name

MC KENZIE

Business Name

JEROLD A MC KENZIE

Original Issue Date

01/27/1990

Effective Date

01/27/1990

Expiration Date

03/31/1995

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005