CHAD A TRAVOUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136841

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

TRAVOUS

Business Name

CHAD A TRAVOUS

Original Issue Date

06/27/2001

Effective Date

06/27/2001

Expiration Date

03/31/2002

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/06/2005