MICHAEL J SHIVELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260313

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

SHIVELY

Business Name

MICHAEL J SHIVELY

Original Issue Date

10/03/2018

Effective Date

10/03/2018

Expiration Date

03/31/2019

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/15/2019