SANDY ALVA DOUGLAS - Pharmacist License in Illinois | # 051029155

SANDY ALVA DOUGLAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029155

License Status

NOT RENEWED

Business

N

First Name

SANDY ALVA

Last Name

DOUGLAS

Business Name

SANDY ALVA DOUGLAS

Original Issue Date

08/05/1972

Effective Date

08/05/1972

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005