JOHN TRAVIS PALMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137566

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

TRAVIS

Last Name

PALMER

Business Name

JOHN TRAVIS PALMER

Original Issue Date

08/08/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

TAYLORVILLE

State

Zip

62568

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007