JONATHAN B TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150192

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

TRAVIS

Business Name

JONATHAN B TRAVIS

Original Issue Date

08/22/2003

Effective Date

08/22/2003

Expiration Date

03/31/2004

City

ROCKWALL

State

Zip

75032

County

TEXAS

Ever Disciplined

LastModifiedDate

10/20/2005