TRAVIS J RADER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110092

License Status

NOT RENEWED

Business

First Name

TRAVIS J

Last Name

RADER

Business Name

TRAVIS J RADER

Original Issue Date

04/05/1995

Effective Date

04/05/1995

Expiration Date

03/31/1999

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005