CHARLES ROBERT HUMPHREY - Pharmacist License in Illinois | # 051029490

CHARLES ROBERT HUMPHREY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029490

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005