ARNETTA CHARLENE CORNELOUS IVY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166568

License Status

NOT RENEWED

Business

First Name

ARNETTA

Middle

CHARLENE

Last Name

CORNELOUS IVY

Business Name

ARNETTA CHARLENE CORNELOUS IVY

Original Issue Date

02/27/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2009