DOUGLAS HOLT HAMPTON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068302

License Status

CANCELLED

Business

First Name

DOUGLAS HOLT

Last Name

HAMPTON

Business Name

DOUGLAS HOLT HAMPTON

Original Issue Date

10/21/1977

Effective Date

10/21/1977

Expiration Date

01/01/1997

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005