JEFFREY IAN DETLOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126103

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

IAN

Last Name

DETLOFF

Business Name

JEFFREY IAN DETLOFF

Original Issue Date

05/27/1999

Effective Date

05/27/1999

Expiration Date

03/31/2000

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005