REVEL L IVEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070206

License Status

NOT RENEWED

Business

First Name

REVEL L

Last Name

IVEY

Business Name

REVEL L IVEY

Original Issue Date

10/13/1978

Effective Date

10/13/1978

Expiration Date

01/01/1997

City

COUNTRY CLUB HILLS

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005