JESSE MARTIN PHELPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137997

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

MARTIN

Last Name

PHELPS

Business Name

JESSE MARTIN PHELPS

Original Issue Date

09/10/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008