GARY LEE ALWAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065536

License Status

CANCELLED

Business

First Name

GARY LEE

Last Name

ALWAN

Business Name

GARY LEE ALWAN

Original Issue Date

06/18/1976

Effective Date

06/18/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005