DAVID RUSSELL STIVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134721

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

RUSSELL

Last Name

STIVER

Business Name

DAVID RUSSELL STIVER

Original Issue Date

02/23/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007