TRAVIS LEON SWANSON - Pharmacist License in Illinois | # 049174476

TRAVIS LEON SWANSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174476

License Status

NOT RENEWED

Business

N

First Name

TRAVIS

Middle

LEON

Last Name

SWANSON

Business Name

TRAVIS LEON SWANSON

Original Issue Date

02/26/2007

Effective Date

02/27/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013