JEVONTE D MACK - Pharmacist License in Illinois | # 049204847

JEVONTE D MACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204847

License Status

NOT RENEWED

Business

N

First Name

JEVONTE

Middle

D

Last Name

MACK

Prefix

MR

Business Name

JEVONTE D MACK

Original Issue Date

06/17/2011

Effective Date

06/17/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012