EDWARD H DIVINE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019191

License Status

INACTIVE

Business

First Name

EDWARD H

Last Name

DIVINE

Business Name

EDWARD H DIVINE

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

PHOENIX

State

Zip

85023

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005