JASON LEE PEMBERTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167161

License Status

NOT RENEWED

Business

First Name

JASON

Middle

LEE

Last Name

PEMBERTON

Business Name

JASON LEE PEMBERTON

Original Issue Date

04/03/2006

Effective Date

04/03/2006

Expiration Date

03/31/2007

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007