DAVID LEE AMUNDSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033574

License Status

INACTIVE

Business

First Name

DAVID LEE

Last Name

AMUNDSON

Business Name

DAVID LEE AMUNDSON

Original Issue Date

03/16/1981

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

LAKE FOREST

State

Zip

60045

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008