DEBORAH S ERVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152134

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

ERVIN

Business Name

DEBORAH S ERVIN

Original Issue Date

11/13/2003

Effective Date

11/13/2003

Expiration Date

03/31/2004

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005