JEREMIAH SETH MANDRELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127992

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

SETH

Last Name

MANDRELL

Business Name

JEREMIAH SETH MANDRELL

Original Issue Date

10/25/1999

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/02/2008