CHARLES LYLE SPARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054134

License Status

NOT RENEWED

Business

First Name

CHARLES LYLE

Last Name

SPARKS

Business Name

CHARLES LYLE SPARKS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005