DANE JONATHAN DAVLANTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159100

License Status

NOT RENEWED

Business

First Name

DANE

Middle

JONATHAN

Last Name

DAVLANTIS

Business Name

DANE JONATHAN DAVLANTIS

Original Issue Date

02/08/2005

Effective Date

02/08/2005

Expiration Date

03/31/2006

City

DOWNERS GROVE

State

Zip

60516

Ever Disciplined

LastModifiedDate

05/11/2006