DAVID JOSEPH REVELLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292425

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JOSEPH

Last Name

REVELLE

Business Name

DAVID JOSEPH REVELLE

Original Issue Date

05/05/2022

Effective Date

03/25/2023

Expiration Date

03/31/2024

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

01/03/2025