ALAN PAUL VAVRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131152

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

PAUL

Last Name

VAVRA

Business Name

ALAN PAUL VAVRA

Original Issue Date

06/13/2000

Effective Date

06/13/2000

Expiration Date

03/31/2004

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005