JEFF ALLEN NIEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117079

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

ALLEN

Last Name

NIEMAN

Business Name

JEFF ALLEN NIEMAN

Original Issue Date

04/03/1997

Effective Date

04/03/1997

Expiration Date

03/31/1998

City

HARVARD

State

Zip

60033

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005