KATHRYN M DEAVILLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227882

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

Last Name

DEAVILLA

Business Name

KATHRYN M DEAVILLA

Original Issue Date

09/16/2014

Effective Date

03/30/2017

Expiration Date

03/31/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

06/19/2018