TRAVIS WAYNE ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125234

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

WAYNE

Last Name

ALLEN

Business Name

TRAVIS WAYNE ALLEN

Original Issue Date

03/31/1999

Effective Date

03/31/1999

Expiration Date

03/31/2002

City

SOUTH ROXANA

State

Zip

62087

County

EDWARDS

Ever Disciplined

LastModifiedDate

12/06/2005