SAMUEL LEE DONAVON - Pharmacist License in Illinois | # 049276440

SAMUEL LEE DONAVON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276440

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

LEE

Last Name

DONAVON

Business Name

SAMUEL LEE DONAVON

Original Issue Date

10/07/2020

Effective Date

03/19/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022