MARION A IVANUCK DDS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023482

License Status

INACTIVE

Business

First Name

MARION A

Last Name

IVANUCK

Suffix

DDS

Business Name

MARION A IVANUCK DDS

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/17/2005