CAROL A STIVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091686

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

STIVERSON

Business Name

CAROL A STIVERSON

Original Issue Date

05/18/1990

Effective Date

05/17/2022

Expiration Date

03/31/2023

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

09/07/2023