REVIS L BUTLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157404

License Status

NOT RENEWED

Business

First Name

REVIS

Middle

Last Name

BUTLER

Business Name

REVIS L BUTLER

Original Issue Date

10/12/2004

Effective Date

10/12/2004

Expiration Date

03/31/2005

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005