JEREMY ALAN BAHN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240579

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

ALAN

Last Name

BAHN

Business Name

JEREMY ALAN BAHN

Original Issue Date

03/30/2016

Effective Date

03/30/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017