DAVID ROBERT REYNOLDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163374

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ROBERT

Last Name

REYNOLDS

Business Name

DAVID ROBERT REYNOLDS

Original Issue Date

08/30/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008