JEFF R SERGENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117967

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

Last Name

SERGENT

Business Name

JEFF R SERGENT

Original Issue Date

06/25/1997

Effective Date

06/25/1997

Expiration Date

03/31/1998

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005