PAMELA R JEROME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109936

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

Last Name

JEROME

Business Name

PAMELA R JEROME

Original Issue Date

03/29/1995

Effective Date

05/04/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012