CHARLES ROBERT HUMPHREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029490

License Status

NOT RENEWED

Business

First Name

CHARLES ROBERT

Last Name

HUMPHREY

Business Name

CHARLES ROBERT HUMPHREY

Original Issue Date

05/07/1973

Effective Date

05/07/1973

Expiration Date

01/01/1997

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005