DAVID R IVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241548

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

IVERSON

Prefix

Business Name

DAVID R IVERSON

Original Issue Date

04/29/2016

Effective Date

04/29/2016

Expiration Date

03/31/2017

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017