CHANTEL ANGELIQUE DAVID Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221003

License Status

INACTIVE

Business

First Name

CHANTEL

Middle

ANGELIQUE

Last Name

DAVID

Business Name

CHANTEL ANGELIQUE DAVID

Original Issue Date

09/23/2013

Effective Date

03/21/2014

Expiration Date

03/31/2015

City

WILLIAMSVILLE

State

Zip

62693

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/06/2015