TAYLOR L SEVERSON - Pharmacist License in Illinois | # 049194610

TAYLOR L SEVERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194610

License Status

NOT RENEWED

Business

N

First Name

TAYLOR

Middle

L

Last Name

SEVERSON

Business Name

TAYLOR L SEVERSON

Original Issue Date

10/02/2009

Effective Date

10/02/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010