LAVETA SUE CASBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118961

License Status

NOT RENEWED

Business

First Name

LAVETA

Middle

SUE

Last Name

CASBURN

Business Name

LAVETA SUE CASBURN

Original Issue Date

10/03/1997

Effective Date

01/26/2021

Expiration Date

05/31/2022

City

ALLENDALE

State

Zip

62410

County

WABASH

Ever Disciplined

LastModifiedDate

07/27/2022