LEROY C JEFFERSON JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070380

License Status

NOT RENEWED

Business

First Name

LEROY C

Last Name

JEFFERSON JR

Business Name

LEROY C JEFFERSON JR

Original Issue Date

11/17/1978

Effective Date

11/17/1978

Expiration Date

01/01/1997

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005