DAVID A CONWAY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155736

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

CONWAY

Business Name

DAVID A CONWAY

Original Issue Date

06/24/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/10/2008