TRAVIS C DEEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189186

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

DEEM

Prefix

Business Name

TRAVIS C DEEM

Original Issue Date

01/14/2009

Effective Date

01/14/2009

Expiration Date

03/31/2010

City

THOMASBORO

State

Zip

61878

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010