JACOB D ERVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145496

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

ERVEN

Business Name

JACOB D ERVEN

Original Issue Date

10/24/2002

Effective Date

01/15/2009

Expiration Date

03/31/2010

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010