JEREMY JOSEPH HALEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146323

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

JOSEPH

Last Name

HALEY

Business Name

JEREMY JOSEPH HALEY

Original Issue Date

12/12/2002

Effective Date

12/12/2002

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006