TRAVIS J SWANSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195547

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

SWANSON

Business Name

TRAVIS J SWANSON

Original Issue Date

11/24/2009

Effective Date

11/24/2009

Expiration Date

03/31/2010

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010