DONNA R LAVITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083142

License Status

NOT RENEWED

Business

First Name

DONNA R

Last Name

LAVITE

Business Name

DONNA R LAVITE

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

03/31/1993

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005