LARISSA VERA SIRYJ Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072990

License Status

CANCELLED

Business

First Name

LARISSA VERA

Last Name

SIRYJ

Business Name

LARISSA VERA SIRYJ

Original Issue Date

05/23/1980

Effective Date

05/23/1980

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005