CHRISTOPHER KEITH REAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088847

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

KEITH

Last Name

REAVIS

Business Name

CHRISTOPHER KEITH REAVIS

Original Issue Date

01/28/1989

Effective Date

01/28/1989

Expiration Date

03/31/1992

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005