PETULIA EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163422

License Status

NOT RENEWED

Business

First Name

PETULIA

Last Name

EVANS

Business Name

PETULIA EVANS

Original Issue Date

08/31/2005

Effective Date

11/28/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019