ROBERT CLARENCE SLATER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145105

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

CLARENCE

Last Name

SLATER

Suffix

Business Name

ROBERT CLARENCE SLATER

Original Issue Date

10/03/2002

Effective Date

10/03/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005