TRAVIS WAYNE ALLEN - Pharmacist License in Illinois | # 049125234

TRAVIS WAYNE ALLEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125234

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005