EDWARD H DIVINE - Pharmacist License in Arizona | # 051019191

EDWARD H DIVINE

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019191

License Status

INACTIVE

Business

N

First Name

EDWARD H

Last Name

DIVINE

Business Name

EDWARD H DIVINE

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

State

AZ

Ever Disciplined

N

LastModifiedDate

10/17/2005