JEROME E WATERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117024

License Status

NOT RENEWED

Business

First Name

JEROME

Middle

Last Name

WATERS

Business Name

JEROME E WATERS

Original Issue Date

04/01/1997

Effective Date

02/09/2009

Expiration Date

03/31/2010

City

GLASFORD

State

Zip

61533

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010