JOHN WILLIAM DIVINE - Pharmacist License in Illinois | # 049058046

JOHN WILLIAM DIVINE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058046

License Status

NOT RENEWED

Business

N

First Name

JOHN WILLIAM

Last Name

DIVINE

Business Name

JOHN WILLIAM DIVINE

Original Issue Date

07/08/1972

Effective Date

07/08/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005