JOHN WILLIAM DIVINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058046

License Status

NOT RENEWED

Business

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

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005