DWAYNE ANTHONY PERKINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289252

License Status

NOT RENEWED

Business

First Name

DWAYNE

Middle

ANTHONY

Last Name

PERKINS

Business Name

DWAYNE ANTHONY PERKINS

Original Issue Date

12/05/2002

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2007