EVAN D FEDERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128889

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

Last Name

FEDERMAN

Business Name

EVAN D FEDERMAN

Original Issue Date

01/10/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007