ELEAZAR WORTHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148575

License Status

NOT RENEWED

Business

First Name

ELEAZAR

Last Name

WORTHAM

Business Name

ELEAZAR WORTHAM

Original Issue Date

05/16/2003

Effective Date

05/16/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005