JONATHAN T EDWARDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200311

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

EDWARDS

Business Name

JONATHAN T EDWARDS

Original Issue Date

09/01/2010

Effective Date

12/29/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012