CHARLES M SHIVELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150459

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

SHIVELY

Business Name

CHARLES M SHIVELY

Original Issue Date

08/27/2003

Effective Date

08/27/2003

Expiration Date

03/31/2004

City

RIVERSIDE

State

Zip

92506

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/20/2005