JEREMY KEVIN HUMBERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160904

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

KEVIN

Last Name

HUMBERT

Business Name

JEREMY KEVIN HUMBERT

Original Issue Date

05/09/2005

Effective Date

05/09/2005

Expiration Date

03/31/2006

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006