GEORGIA J REVEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155492

License Status

NOT RENEWED

Business

First Name

GEORGIA

Middle

Last Name

REVEL

Business Name

GEORGIA J REVEL

Original Issue Date

06/21/2004

Effective Date

02/24/2014

Expiration Date

03/31/2015

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015