JEFFREY WALTER EARLESON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149890

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

WALTER

Last Name

EARLESON

Business Name

JEFFREY WALTER EARLESON

Original Issue Date

08/19/2003

Effective Date

08/19/2003

Expiration Date

03/31/2005

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005