JAI'DEN JEROME LEE NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274226

License Status

NOT RENEWED

Business

First Name

JAI'DEN

Middle

JEROME LEE

Last Name

NELSON

Business Name

JAI'DEN JEROME LEE NELSON

Original Issue Date

07/13/2020

Effective Date

07/13/2020

Expiration Date

03/31/2021

City

DANVILLE

State

Zip

61832

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021