DURWARD LANE BEVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208484

License Status

NOT RENEWED

Business

First Name

DURWARD

Middle

LANE

Last Name

BEVIS

Business Name

DURWARD LANE BEVIS

Original Issue Date

12/29/2011

Effective Date

02/29/2012

Expiration Date

03/31/2013

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013