DAVID LAVENDER - Pharmacist License in Illinois | # 051032892

DAVID LAVENDER

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032892

License Status

INACTIVE

Business

N

First Name

DAVID

Last Name

LAVENDER

Business Name

DAVID LAVENDER

Original Issue Date

08/07/1979

Effective Date

08/07/1979

Expiration Date

03/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005