RAVEN DALE TAYLOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160596

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

DALE

Last Name

TAYLOR

Business Name

RAVEN DALE TAYLOR

Original Issue Date

04/26/2005

Effective Date

03/16/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011