WILLIAM RUSSELL IVEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200088

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

RUSSELL

Last Name

IVEY

Business Name

WILLIAM RUSSELL IVEY

Original Issue Date

08/23/2010

Effective Date

03/19/2012

Expiration Date

03/31/2013

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/06/2013