HENRIETTA A IVY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084688

License Status

NOT RENEWED

Business

First Name

HENRIETTA A

Last Name

IVY

Business Name

HENRIETTA A IVY

Original Issue Date

07/02/1987

Effective Date

07/02/1987

Expiration Date

03/31/1996

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005