DALTON PAUL ERVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213297

License Status

NOT RENEWED

Business

First Name

DALTON

Middle

PAUL

Last Name

ERVIN

Business Name

DALTON PAUL ERVIN

Original Issue Date

09/05/2012

Effective Date

02/13/2013

Expiration Date

03/31/2014

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/06/2014