JAZZ DOMINIC KROEGER MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271219

License Status

NOT RENEWED

Business

Title

First Name

JAZZ

Middle

DOMINIC

Last Name

KROEGER

Business Name

JAZZ DOMINIC KROEGER MD

Original Issue Date

02/25/2020

Effective Date

02/25/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021