ALVINETTA CHAMPION Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062614

License Status

NOT RENEWED

Business

First Name

ALVINETTA

Last Name

CHAMPION

Business Name

ALVINETTA CHAMPION

Original Issue Date

11/29/1974

Effective Date

11/29/1974

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005