DAVID MICHAEL LIVELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172780

License Status

NOT RENEWED

Business

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

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/02/2008