MEREDITH A GALLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103211

License Status

NOT RENEWED

Business

First Name

MEREDITH A

Last Name

GALLIVAN

Business Name

MEREDITH A GALLIVAN

Original Issue Date

04/23/1993

Effective Date

04/23/1993

Expiration Date

03/31/2002

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2005