ALLEN A DALLAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027188

License Status

NOT RENEWED

Business

First Name

ALLEN A

Last Name

DALLAVIS

Business Name

ALLEN A DALLAVIS

Original Issue Date

01/01/1997

Effective Date

02/26/2016

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018