CARLA SUE POVOLISH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061111

License Status

NOT RENEWED

Business

First Name

CARLA SUE

Last Name

POVOLISH

Business Name

CARLA SUE POVOLISH

Original Issue Date

03/15/1974

Effective Date

03/15/1974

Expiration Date

01/01/1997

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/17/2005