JEVONTE D MACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204847

License Status

NOT RENEWED

Business

First Name

JEVONTE

Middle

Last Name

MACK

Prefix

Business Name

JEVONTE D MACK

Original Issue Date

06/17/2011

Effective Date

06/17/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012