MARISA DAWN TRAVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179034

License Status

NOT RENEWED

Business

First Name

MARISA

Middle

DAWN

Last Name

TRAVER

Business Name

MARISA DAWN TRAVER

Original Issue Date

09/06/2007

Effective Date

09/06/2007

Expiration Date

03/31/2008

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/02/2008