EVANGELINE SCOTT IVY - Pharmacist License in Illinois | # 049056643

EVANGELINE SCOTT IVY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056643

License Status

NOT RENEWED

Business

N

First Name

EVANGELINE SCOTT

Last Name

IVY

Business Name

EVANGELINE SCOTT IVY

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005