DAVID E HARTSFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155288

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

HARTSFIELD

Business Name

DAVID E HARTSFIELD

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

2005001027

Action

Refuse To Renew

Discipline Start Date

04/07/2005

Discipline Reason

MORE THAN 30 DAYS DELINQUENT IN THE PAYMENT OF CHILD SUPPORT.