THOMAS MICHAEL EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140369

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

MICHAEL

Last Name

EVANS

Business Name

THOMAS MICHAEL EVANS

Original Issue Date

01/23/2002

Effective Date

01/26/2012

Expiration Date

03/31/2013

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013