DEANE WITHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247823

License Status

NOT RENEWED

Business

First Name

DEANE

Last Name

WITHAM

Business Name

DEANE WITHAM

Original Issue Date

01/17/2017

Effective Date

01/17/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018