MICHAEL ALLEN DRIVER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185304

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

ALLEN

Last Name

DRIVER

Business Name

MICHAEL ALLEN DRIVER

Original Issue Date

07/01/2008

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

NORTH PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/05/2011