Donna J Lively
ExpiredIllinois license 049069298
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049069298
- Status
- Expired (Not Renewed)
- First issued
- May 5, 1978
- Expired
- March 31, 2004
- License holder
- Donna J Lively
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/05/1978
Contact
Griffith, IN 46319
Indiana County