DAVID MICHAEL LIVELY - Pharmacist License in Illinois | # 049172780

DAVID MICHAEL LIVELY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172780

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

MICHAEL

Last Name

LIVELY

Business Name

DAVID MICHAEL LIVELY

Original Issue Date

11/22/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008