BILLY RAY KERVIN JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152218

License Status

NOT RENEWED

Business

First Name

BILLY

Middle

RAY

Last Name

KERVIN

Suffix

Business Name

BILLY RAY KERVIN JR

Original Issue Date

11/21/2003

Effective Date

11/21/2003

Expiration Date

03/31/2006

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006