EDWARD D DIVINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049049340

License Status

NOT RENEWED

Business

First Name

EDWARD D

Last Name

DIVINE

Business Name

EDWARD D DIVINE

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

BUFFALO GROVE

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005