GRACE E JEROME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039162

License Status

NOT RENEWED

Business

First Name

GRACE E

Last Name

JEROME

Business Name

GRACE E JEROME

Original Issue Date

12/16/1992

Effective Date

03/09/2012

Expiration Date

03/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/06/2014