SHIRLEY I RAVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078322

License Status

NOT RENEWED

Business

First Name

SHIRLEY I

Last Name

RAVER

Business Name

SHIRLEY I RAVER

Original Issue Date

05/19/1983

Effective Date

05/19/1983

Expiration Date

03/31/1984

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005