ERIC VANDIVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215142

License Status

NOT RENEWED

Business

First Name

ERIC

Last Name

VANDIVER

Business Name

ERIC VANDIVER

Original Issue Date

12/22/2012

Effective Date

01/15/2014

Expiration Date

03/31/2015

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/11/2015