MELITA RIVERA BANAYAT - Pharmacist License in Illinois | # 049121252

MELITA RIVERA BANAYAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121252

License Status

NOT RENEWED

Business

N

First Name

MELITA

Middle

RIVERA

Last Name

BANAYAT

Business Name

MELITA RIVERA BANAYAT

Original Issue Date

05/29/1998

Effective Date

03/13/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019