CHARLES D DIVELEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154027

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

DIVELEY

Business Name

CHARLES D DIVELEY

Original Issue Date

04/08/2004

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

07/15/2019