LEROY FENTRESS JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129598

License Status

NOT RENEWED

Business

First Name

LEROY

Last Name

FENTRESS

Suffix

Business Name

LEROY FENTRESS JR

Original Issue Date

02/28/2000

Effective Date

02/04/2021

Expiration Date

05/31/2022

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022