GREGORY M PERCIVAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200820

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

PERCIVAL

Prefix

Business Name

GREGORY M PERCIVAL

Original Issue Date

10/01/2010

Effective Date

10/01/2010

Expiration Date

03/31/2011

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011