CHARLA MICHELLE TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173264

License Status

NOT RENEWED

Business

First Name

CHARLA

Middle

MICHELLE

Last Name

TRAVIS

Business Name

CHARLA MICHELLE TRAVIS

Original Issue Date

12/18/2006

Effective Date

02/26/2009

Expiration Date

03/31/2010

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010