MARION P ERVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196156

License Status

NOT RENEWED

Business

First Name

MARION

Middle

Last Name

ERVIN

Business Name

MARION P ERVIN

Original Issue Date

01/11/2010

Effective Date

01/11/2010

Expiration Date

03/31/2011

City

ROSSVILLE

State

Zip

60963

County

VERMILION

Ever Disciplined

LastModifiedDate

05/12/2011