JEFFREY LEE LARGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260113

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

LEE

Last Name

LARGE

Business Name

JEFFREY LEE LARGE

Original Issue Date

09/26/2018

Effective Date

03/08/2019

Expiration Date

09/30/2020

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021