FRED EDWARD DURHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104545

License Status

NOT RENEWED

Business

First Name

FRED EDWARD

Last Name

DURHAM

Business Name

FRED EDWARD DURHAM

Original Issue Date

09/18/1993

Effective Date

09/18/1993

Expiration Date

03/31/1994

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005