JEFFERY QUALLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140192

License Status

NOT RENEWED

Business

First Name

JEFFERY

Last Name

QUALLS

Business Name

JEFFERY QUALLS

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005