JED DAVID CASBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118598

License Status

NOT RENEWED

Business

First Name

JED

Middle

DAVID

Last Name

CASBURN

Business Name

JED DAVID CASBURN

Original Issue Date

08/19/1997

Effective Date

08/19/1997

Expiration Date

03/31/2000

City

ALLENDALE

State

Zip

62410

County

LAWRENCE

Ever Disciplined

LastModifiedDate

10/21/2005