TODD P JERVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081106

License Status

NOT RENEWED

Business

First Name

TODD P

Last Name

JERVIS

Business Name

TODD P JERVIS

Original Issue Date

06/12/1985

Effective Date

06/12/1985

Expiration Date

03/31/1988

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005