GAVIN MARTIN STOLTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074002

License Status

NOT RENEWED

Business

First Name

GAVIN MARTIN

Last Name

STOLTE

Business Name

GAVIN MARTIN STOLTE

Original Issue Date

12/05/1980

Effective Date

12/05/1980

Expiration Date

03/31/1982

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005