HIRAM M DAITCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038285

License Status

NOT RENEWED

Business

First Name

HIRAM M

Last Name

DAITCH

Business Name

HIRAM M DAITCH

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

03/31/2000

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2005