JAMIE LIVELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217210

License Status

NOT RENEWED

Business

First Name

JAMIE

Last Name

LIVELY

Prefix

Business Name

JAMIE LIVELY

Original Issue Date

04/05/2013

Effective Date

02/09/2015

Expiration Date

03/31/2016

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

05/20/2016