DAVID ALAN LAVENDER - Pharmacist License in Illinois | # 049065818

DAVID ALAN LAVENDER

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065818

License Status

CANCELLED

Business

N

First Name

DAVID ALAN

Last Name

LAVENDER

Business Name

DAVID ALAN LAVENDER

Original Issue Date

07/23/1976

Effective Date

07/23/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005