TAYLOR L SEVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194610

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

SEVERSON

Business Name

TAYLOR L SEVERSON

Original Issue Date

10/02/2009

Effective Date

10/02/2009

Expiration Date

03/31/2010

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/04/2010