VICKIE L EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160954

License Status

NOT RENEWED

Business

First Name

VICKIE

Middle

Last Name

EVANS

Business Name

VICKIE L EVANS

Original Issue Date

05/12/2005

Effective Date

05/12/2005

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006