JEFFERY C WAYDEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155534

License Status

NOT RENEWED

Business

First Name

JEFFERY

Middle

Last Name

WAYDEMAN

Business Name

JEFFERY C WAYDEMAN

Original Issue Date

06/22/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/14/2007