ROBERT L SPAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160074

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

SPAIN

Business Name

ROBERT L SPAIN

Original Issue Date

04/11/2005

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018