CASEY A.T DIVELY - Pharmacist License in Illinois | # 049157277

CASEY A.T DIVELY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157277

License Status

NOT RENEWED

Business

N

First Name

CASEY

Middle

A.T

Last Name

DIVELY

Business Name

CASEY A.T DIVELY

Original Issue Date

10/04/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008