ANTHONY LAMONT DOUGLAS - Pharmacist License in Illinois | # 049179957

ANTHONY LAMONT DOUGLAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179957

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008