DAVID A SCRIVANO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098967

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

SCRIVANO

Business Name

DAVID A SCRIVANO

Original Issue Date

12/20/1991

Effective Date

12/20/1991

Expiration Date

03/31/2003

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005