ADRIENNE MARIE GERVAIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139037

License Status

NOT RENEWED

Business

First Name

ADRIENNE

Middle

MARIE

Last Name

GERVAIS

Business Name

ADRIENNE MARIE GERVAIS

Original Issue Date

11/02/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008