CHARLES WILLIAM SEVERNS II Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064045

License Status

NOT RENEWED

Business

First Name

CHARLES WILLIAM

Last Name

SEVERNS II

Business Name

CHARLES WILLIAM SEVERNS II

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005