BEVERLY J EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099090

License Status

NOT RENEWED

Business

First Name

BEVERLY J

Last Name

EVANS

Business Name

BEVERLY J EVANS

Original Issue Date

01/14/1992

Effective Date

01/14/1992

Expiration Date

03/31/1993

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005