ALLISON DIANNE PROVINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051295040

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

DIANNE

Last Name

PROVINE

Business Name

ALLISON DIANNE PROVINE

Original Issue Date

07/12/2011

Effective Date

01/24/2014

Expiration Date

03/31/2016

City

NASHVILLE

State

Zip

37204

County

TENNESSEE

Ever Disciplined

LastModifiedDate

05/20/2016