KERVANS LOSSE - Pharmacist License in Illinois | # 049158066

KERVANS LOSSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158066

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005