MARIANN VANDIVIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169448

License Status

NOT RENEWED

Business

First Name

MARIANN

Last Name

VANDIVIER

Business Name

MARIANN VANDIVIER

Original Issue Date

06/20/2006

Effective Date

06/20/2006

Expiration Date

03/31/2007

City

KINGMAN

State

Zip

47952

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007