CHARLOTTE D ERVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102495

License Status

NOT RENEWED

Business

First Name

CHARLOTTE D

Last Name

ERVIN

Business Name

CHARLOTTE D ERVIN

Original Issue Date

02/23/1993

Effective Date

02/23/1993

Expiration Date

03/31/1995

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005