JEREMY DANIEL RADER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126011

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

DANIEL

Last Name

RADER

Business Name

JEREMY DANIEL RADER

Original Issue Date

05/21/1999

Effective Date

05/21/1999

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005