JEFFREY T FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137339

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

FIELDS

Business Name

JEFFREY T FIELDS

Original Issue Date

07/23/2001

Effective Date

07/23/2001

Expiration Date

03/31/2003

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005