ALBERT A DALLAVIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022042

License Status

INACTIVE

Business

First Name

ALBERT A

Last Name

DALLAVIS

Business Name

ALBERT A DALLAVIS

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005