JAMES LOUIS DALLAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054459

License Status

NOT RENEWED

Business

First Name

JAMES LOUIS

Last Name

DALLAVIS

Business Name

JAMES LOUIS DALLAVIS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005