EMMA PROVOST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278838

License Status

NOT RENEWED

Business

First Name

EMMA

Last Name

PROVOST

Business Name

EMMA PROVOST

Original Issue Date

01/22/2021

Effective Date

05/27/2022

Expiration Date

03/31/2023

City

BUFFALO GROVE

State

Zip

60089

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023