RON L SPIVA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058141

License Status

CANCELLED

Business

First Name

RON L

Last Name

SPIVA

Business Name

RON L SPIVA

Original Issue Date

07/21/1972

Effective Date

07/21/1972

Expiration Date

01/01/1997

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005