JERRY ALLAN TRADER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117465

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

ALLAN

Last Name

TRADER

Business Name

JERRY ALLAN TRADER

Original Issue Date

05/02/1997

Effective Date

05/02/1997

Expiration Date

03/31/1998

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005