JEROMY ROBERT SHIPPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167379

License Status

NOT RENEWED

Business

First Name

JEROMY

Middle

ROBERT

Last Name

SHIPPER

Business Name

JEROMY ROBERT SHIPPER

Original Issue Date

04/06/2006

Effective Date

04/06/2006

Expiration Date

03/31/2007

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

05/14/2007