JEFFREY MARTIN HALVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132927

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

MARTIN

Last Name

HALVERSON

Business Name

JEFFREY MARTIN HALVERSON

Original Issue Date

10/02/2000

Effective Date

10/02/2000

Expiration Date

03/31/2005

City

CANTON

State

Zip

61500

County

FULTON

Ever Disciplined

LastModifiedDate

10/20/2005