SANDY ALVA DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029155

License Status

NOT RENEWED

Business

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

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005