DEBORAH C TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134050

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

TRAVIS

Business Name

DEBORAH C TRAVIS

Original Issue Date

12/13/2000

Effective Date

12/13/2000

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005