DANA LEA BLIVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105623

License Status

NOT RENEWED

Business

First Name

DANA LEA

Last Name

BLIVEN

Business Name

DANA LEA BLIVEN

Original Issue Date

01/11/1994

Effective Date

01/11/1994

Expiration Date

03/31/1996

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005