DALAVIA D EDMON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174687

License Status

NOT RENEWED

Business

First Name

DALAVIA

Middle

Last Name

EDMON

Business Name

DALAVIA D EDMON

Original Issue Date

03/07/2007

Effective Date

02/21/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60617

Ever Disciplined

LastModifiedDate

05/06/2013