JAY M WEBER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141185

License Status

NOT RENEWED

Business

First Name

JAY

Middle

Last Name

WEBER

Business Name

JAY M WEBER

Original Issue Date

03/05/2002

Effective Date

03/05/2002

Expiration Date

03/31/2003

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005