PERVIS HUDDLESTON JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061807

License Status

NOT RENEWED

Business

First Name

PERVIS

Last Name

HUDDLESTON JR

Business Name

PERVIS HUDDLESTON JR

Original Issue Date

06/28/1974

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008