ANTHONY LAMONT DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179957

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

LAMONT

Last Name

DOUGLAS

Business Name

ANTHONY LAMONT DOUGLAS

Original Issue Date

10/16/2007

Effective Date

10/16/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008