GROVER HARRISON RIVENBARK - Pharmacist License in West Virginia | # 051287084

GROVER HARRISON RIVENBARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287084

License Status

NOT RENEWED

Business

N

First Name

GROVER

Middle

HARRISON

Last Name

RIVENBARK

Business Name

GROVER HARRISON RIVENBARK

Original Issue Date

04/16/1999

Effective Date

04/16/1999

Expiration Date

03/31/2002

State

WV

Ever Disciplined

N

LastModifiedDate

12/06/2005