KEVIN J PAVLIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069790

License Status

NOT RENEWED

Business

First Name

KEVIN J

Last Name

PAVLIK

Business Name

KEVIN J PAVLIK

Original Issue Date

07/21/1978

Effective Date

07/21/1978

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005