DAVID ALAN LAVENDER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065818

License Status

CANCELLED

Business

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

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005