DRAVEN ALEXANDER NELSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228106

License Status

INACTIVE

Business

First Name

DRAVEN

Middle

ALEXANDER

Last Name

NELSON

Business Name

DRAVEN ALEXANDER NELSON

Original Issue Date

09/25/2014

Effective Date

03/12/2019

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

01/04/2020