DONNA L CHAMPION Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114264

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

CHAMPION

Business Name

DONNA L CHAMPION

Original Issue Date

05/18/1996

Effective Date

05/18/1996

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005