MAMIE LOUISE JEFFERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130636

License Status

NOT RENEWED

Business

First Name

MAMIE

Middle

LOUISE

Last Name

JEFFERSON

Business Name

MAMIE LOUISE JEFFERSON

Original Issue Date

04/21/2000

Effective Date

04/21/2000

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005