DAVID LAVENDER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032892

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005