LARRY DWAYNE TREADWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119781

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

DWAYNE

Last Name

TREADWELL

Business Name

LARRY DWAYNE TREADWELL

Original Issue Date

01/09/1998

Effective Date

03/01/2012

Expiration Date

03/31/2013

City

RIVERDALE

State

Zip

60827

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013