RAVEN JULIUS SANDIFER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148638

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

JULIUS

Last Name

SANDIFER

Business Name

RAVEN JULIUS SANDIFER

Original Issue Date

05/30/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008