CLARE F DIVINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051020494

License Status

NOT RENEWED

Business

First Name

CLARE F

Last Name

DIVINE

Business Name

CLARE F DIVINE

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005