STEPHANIE P ERVIN - Pharmacist License in Illinois | # 049132877

STEPHANIE P ERVIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132877

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

P

Last Name

ERVIN

Business Name

STEPHANIE P ERVIN

Original Issue Date

09/27/2000

Effective Date

09/27/2000

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005