JEREMY WAYNE SHEPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199649

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

WAYNE

Last Name

SHEPARD

Business Name

JEREMY WAYNE SHEPARD

Original Issue Date

07/29/2010

Effective Date

01/16/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015