CARLA J GOVERN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113360

License Status

NOT RENEWED

Business

First Name

CARLA J

Last Name

GOVERN

Business Name

CARLA J GOVERN

Original Issue Date

02/07/1996

Effective Date

02/07/1996

Expiration Date

03/31/1999

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005