TRAVIS JW PROEHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197322

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

PROEHL

Business Name

TRAVIS JW PROEHL

Original Issue Date

03/16/2010

Effective Date

03/16/2010

Expiration Date

03/31/2011

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011