KIRK W PIVOVAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290085

License Status

NOT RENEWED

Business

First Name

KIRK

Middle

Last Name

PIVOVAR

Business Name

KIRK W PIVOVAR

Original Issue Date

08/12/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008