JEREMY G THAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288114

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

THAIN

Business Name

JEREMY G THAIN

Original Issue Date

03/09/2001

Effective Date

01/22/2018

Expiration Date

09/30/2020

City

FT WAYNE

State

Zip

46814

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021