JAN L SIVILL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030102

License Status

NOT RENEWED

Business

First Name

JAN L

Last Name

SIVILL

Business Name

JAN L SIVILL

Original Issue Date

08/02/1974

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2006