CORTNEY R PREVOST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217766

License Status

NOT RENEWED

Business

First Name

CORTNEY

Middle

Last Name

PREVOST

Prefix

Business Name

CORTNEY R PREVOST

Original Issue Date

05/08/2013

Effective Date

03/25/2015

Expiration Date

03/31/2016

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/20/2016