RON L SPIVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031163

License Status

NOT RENEWED

Business

First Name

RON L

Last Name

SPIVA

Business Name

RON L SPIVA

Original Issue Date

08/06/1976

Effective Date

08/06/1976

Expiration Date

03/31/1986

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005