CHARLES S CORVALLIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023111

License Status

INACTIVE

Business

First Name

CHARLES S

Last Name

CORVALLIS

Business Name

CHARLES S CORVALLIS

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

12/06/2005