JAMES L DALLAVIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029971

License Status

INACTIVE

Business

First Name

JAMES L

Last Name

DALLAVIS

Business Name

JAMES L DALLAVIS

Original Issue Date

08/02/1974

Effective Date

02/22/2020

Expiration Date

07/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/01/2022