RON L SPIVA - Pharmacist License in Illinois | # 049058141

RON L SPIVA

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058141

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005