DEBRA L COLLIVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089568

License Status

NOT RENEWED

Business

First Name

DEBRA L

Last Name

COLLIVER

Business Name

DEBRA L COLLIVER

Original Issue Date

04/11/1989

Effective Date

04/11/1989

Expiration Date

03/31/1992

City

BEASON

State

Zip

62512

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005