JERROD K HUMPHREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116188

License Status

NOT RENEWED

Business

First Name

JERROD K

Last Name

HUMPHREY

Business Name

JERROD K HUMPHREY

Original Issue Date

12/17/1996

Effective Date

12/17/1996

Expiration Date

03/31/1999

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005