JEREMY DAVID REYNOLDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144462

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

DAVID

Last Name

REYNOLDS

Business Name

JEREMY DAVID REYNOLDS

Original Issue Date

09/05/2002

Effective Date

09/05/2002

Expiration Date

03/31/2004

City

FISHER

State

Zip

61843

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005