PATRICK T W GALLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055667

License Status

NOT RENEWED

Business

First Name

PATRICK T W

Last Name

GALLIVAN

Business Name

PATRICK T W GALLIVAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

WHITING

State

Zip

46394

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005