CHARLES T BACKOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029901

License Status

NOT RENEWED

Business

First Name

CHARLES T

Last Name

BACKOFF

Business Name

CHARLES T BACKOFF

Original Issue Date

06/13/1974

Effective Date

06/13/1974

Expiration Date

03/31/2000

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/06/2005