CONSTANCE EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056736

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Last Name

EVANS

Business Name

CONSTANCE EVANS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005