JEFFREY SCOTT BONHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121113

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

SCOTT

Last Name

BONHAM

Business Name

JEFFREY SCOTT BONHAM

Original Issue Date

05/21/1998

Effective Date

05/21/1998

Expiration Date

03/31/1999

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005