ROBERT D DETIENNE JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096236

License Status

NOT RENEWED

Business

First Name

ROBERT D

Last Name

DETIENNE JR

Business Name

ROBERT D DETIENNE JR

Original Issue Date

03/22/1991

Effective Date

03/22/1991

Expiration Date

03/31/1992

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005