MARY ANN CLEAVENGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105091

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

CLEAVENGER

Business Name

MARY ANN CLEAVENGER

Original Issue Date

11/02/1993

Effective Date

11/02/1993

Expiration Date

03/31/1996

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/17/2005