EVGENY MOERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145096

License Status

NOT RENEWED

Business

First Name

EVGENY

Last Name

MOERMAN

Business Name

EVGENY MOERMAN

Original Issue Date

10/03/2002

Effective Date

10/03/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005