GROVER HARRISON RIVENBARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287084

License Status

NOT RENEWED

Business

First Name

GROVER

Middle

HARRISON

Last Name

RIVENBARK

Business Name

GROVER HARRISON RIVENBARK

Original Issue Date

04/16/1999

Effective Date

04/16/1999

Expiration Date

03/31/2002

City

MORGANTOWN

State

Zip

26508

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

12/06/2005