DONNA M IVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200735

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

IVERSON

Business Name

DONNA M IVERSON

Original Issue Date

09/27/2010

Effective Date

01/25/2011

Expiration Date

03/31/2012

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/07/2012