DEBRA L PERCIVAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147843

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

PERCIVAL

Business Name

DEBRA L PERCIVAL

Original Issue Date

04/03/2003

Effective Date

04/03/2003

Expiration Date

03/31/2004

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

09/14/2009