STEPHANIE P ERVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132877

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

ERVIN

Business Name

STEPHANIE P ERVIN

Original Issue Date

09/27/2000

Effective Date

09/27/2000

Expiration Date

03/31/2005

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

10/20/2005