PAUL W IVES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115852

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

IVES

Business Name

PAUL W IVES

Original Issue Date

11/06/1996

Effective Date

11/06/1996

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005