JEREMIAH WADE HARCOURT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159040

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

WADE

Last Name

HARCOURT

Business Name

JEREMIAH WADE HARCOURT

Original Issue Date

02/03/2005

Effective Date

02/03/2005

Expiration Date

03/31/2006

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

05/11/2006