WANDA L SHIVELY - Pharmacist License in Illinois | # 049080485

WANDA L SHIVELY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080485

License Status

NOT RENEWED

Business

N

First Name

WANDA L

Last Name

SHIVELY

Business Name

WANDA L SHIVELY

Original Issue Date

11/26/1984

Effective Date

11/26/1984

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005