DORIEN R HUMPHREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156204

License Status

NOT RENEWED

Business

First Name

DORIEN

Middle

Last Name

HUMPHREY

Business Name

DORIEN R HUMPHREY

Original Issue Date

07/27/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009