LISA KAY SHIVELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071921

License Status

NOT RENEWED

Business

First Name

LISA KAY

Last Name

SHIVELY

Business Name

LISA KAY SHIVELY

Original Issue Date

09/21/1979

Effective Date

09/21/1979

Expiration Date

03/31/1984

City

SHAWNEETOWN

State

Zip

62984

County

GALLATIN

Ever Disciplined

LastModifiedDate

10/17/2005