DAVID L HUMPHREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094532

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

HUMPHREY

Business Name

DAVID L HUMPHREY

Original Issue Date

09/21/1990

Effective Date

09/21/1990

Expiration Date

03/31/1996

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005