JERED W HAEDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137752

License Status

NOT RENEWED

Business

First Name

JERED

Middle

Last Name

HAEDT

Business Name

JERED W HAEDT

Original Issue Date

08/14/2001

Effective Date

08/14/2001

Expiration Date

03/31/2003

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005