LILY FAE SPIVEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049315492

License Status

NOT RENEWED

Business

First Name

LILY

Middle

FAE

Last Name

SPIVEY

Business Name

LILY FAE SPIVEY

Original Issue Date

09/26/2024

Effective Date

09/26/2024

Expiration Date

03/31/2025

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

07/08/2025