EVANGELINE SCOTT IVY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056643

License Status

NOT RENEWED

Business

First Name

EVANGELINE SCOTT

Last Name

IVY

Business Name

EVANGELINE SCOTT IVY

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005