OLLIE P PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082744

License Status

NOT RENEWED

Business

First Name

OLLIE P

Last Name

PAYNE

Business Name

OLLIE P PAYNE

Original Issue Date

06/03/1986

Effective Date

06/03/1986

Expiration Date

03/31/1989

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005