JEFFREY EARL WHITEHEAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195550

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

EARL

Last Name

WHITEHEAD

Business Name

JEFFREY EARL WHITEHEAD

Original Issue Date

11/24/2009

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013