TYLER JAMES PASCAVIS MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223641

License Status

NOT RENEWED

Business

Title

First Name

TYLER

Middle

JAMES

Last Name

PASCAVIS

Business Name

TYLER JAMES PASCAVIS MD

Original Issue Date

02/28/2014

Effective Date

03/24/2016

Expiration Date

03/31/2017

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/10/2017