DALAVIA D EDMON - Pharmacist License in Illinois | # 049174687

DALAVIA D EDMON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174687

License Status

NOT RENEWED

Business

N

First Name

DALAVIA

Middle

D

Last Name

EDMON

Business Name

DALAVIA D EDMON

Original Issue Date

03/07/2007

Effective Date

02/21/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013