EVELYN MORMON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106716

License Status

NOT RENEWED

Business

First Name

EVELYN

Last Name

MORMON

Business Name

EVELYN MORMON

Original Issue Date

04/26/1994

Effective Date

04/26/1994

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005