VICKI W LIVELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101884

License Status

NOT RENEWED

Business

First Name

VICKI W

Last Name

LIVELY

Business Name

VICKI W LIVELY

Original Issue Date

12/02/1992

Effective Date

12/02/1992

Expiration Date

03/31/1997

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

10/17/2005