VIVIAN R KAVLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065265

License Status

NOT RENEWED

Business

First Name

VIVIAN R

Last Name

KAVLOCK

Business Name

VIVIAN R KAVLOCK

Original Issue Date

04/30/1976

Effective Date

04/30/1976

Expiration Date

03/31/1984

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005