EVAN XAVIER EDWARDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253090

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

XAVIER

Last Name

EDWARDS

Business Name

EVAN XAVIER EDWARDS

Original Issue Date

09/15/2017

Effective Date

01/29/2019

Expiration Date

09/30/2020

City

BUSHNELL

State

Zip

61422

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

01/08/2021