KERVANS LOSSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158066

License Status

NOT RENEWED

Business

First Name

KERVANS

Last Name

LOSSE

Business Name

KERVANS LOSSE

Original Issue Date

12/01/2004

Effective Date

12/01/2004

Expiration Date

03/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005