ALISA NICOLE DIVELEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180667

License Status

NOT RENEWED

Business

First Name

ALISA

Middle

NICOLE

Last Name

DIVELEY

Business Name

ALISA NICOLE DIVELEY

Original Issue Date

11/21/2007

Effective Date

03/26/2018

Expiration Date

03/31/2019

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/15/2019