ANN M SCRIVANO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079829

License Status

NOT RENEWED

Business

First Name

ANN M

Last Name

SCRIVANO

Business Name

ANN M SCRIVANO

Original Issue Date

05/22/1984

Effective Date

05/22/1984

Expiration Date

03/31/1986

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005