ANTWAN R CHILDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157858

License Status

NOT RENEWED

Business

First Name

ANTWAN

Middle

Last Name

CHILDS

Business Name

ANTWAN R CHILDS

Original Issue Date

11/16/2004

Effective Date

11/16/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006