DANIELLE NICOLE REAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171098

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

NICOLE

Last Name

REAVIS

Business Name

DANIELLE NICOLE REAVIS

Original Issue Date

09/06/2006

Effective Date

01/11/2010

Expiration Date

03/31/2011

City

LOUISVILLE

State

Zip

62858

County

CLAY

Ever Disciplined

LastModifiedDate

05/12/2011