EDGAR DE ALLEN III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056468

License Status

NOT RENEWED

Business

First Name

EDGAR DE

Last Name

ALLEN III

Business Name

EDGAR DE ALLEN III

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005