MACKENZIE MARIE REVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253168

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

MARIE

Last Name

REVER

Business Name

MACKENZIE MARIE REVER

Original Issue Date

09/19/2017

Effective Date

10/16/2020

Expiration Date

03/31/2021

City

PANA

State

Zip

62557

Ever Disciplined

LastModifiedDate

07/20/2021