MARYELLEN TEVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129195

License Status

NOT RENEWED

Business

First Name

MARYELLEN

Last Name

TEVIS

Business Name

MARYELLEN TEVIS

Original Issue Date

02/08/2000

Effective Date

03/08/2017

Expiration Date

03/31/2018

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Ever Disciplined

LastModifiedDate

06/19/2018