DAVID PHILIP GHANTOUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243112

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

PHILIP

Last Name

GHANTOUS

Business Name

DAVID PHILIP GHANTOUS

Original Issue Date

07/11/2016

Effective Date

03/20/2017

Expiration Date

03/31/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/19/2018