JEROME ALLEN VANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121260

License Status

NOT RENEWED

Business

First Name

JEROME

Middle

ALLEN

Last Name

VANN

Business Name

JEROME ALLEN VANN

Original Issue Date

06/01/1998

Effective Date

06/01/1998

Expiration Date

03/31/2000

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005