JEFF RUSSEL WARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130336

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

RUSSEL

Last Name

WARD

Business Name

JEFF RUSSEL WARD

Original Issue Date

03/31/2000

Effective Date

03/31/2000

Expiration Date

03/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

12/06/2005