DONNA J LIVELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069298

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

LIVELY

Business Name

DONNA J LIVELY

Original Issue Date

05/05/1978

Effective Date

05/05/1978

Expiration Date

03/31/2004

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005