JEFFREY SCOTT BONHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286501

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

SCOTT

Last Name

BONHAM

Business Name

JEFFREY SCOTT BONHAM

Original Issue Date

04/09/1998

Effective Date

04/09/1998

Expiration Date

03/31/2004

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/06/2005