ERLA A ERVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118333

License Status

NOT RENEWED

Business

First Name

ERLA

Middle

Last Name

ERVIN

Business Name

ERLA A ERVIN

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

03/31/1998

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005