DEMETRIUS TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091478

License Status

NOT RENEWED

Business

First Name

DEMETRIUS

Last Name

TRAVIS

Business Name

DEMETRIUS TRAVIS

Original Issue Date

10/21/1989

Effective Date

10/21/1989

Expiration Date

03/31/1995

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005