ASHLEY M NOVAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254777

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

NOVAK

Business Name

ASHLEY M NOVAK

Original Issue Date

12/04/2017

Effective Date

12/04/2017

Expiration Date

03/31/2018

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018