STACEY E RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082062

License Status

NOT RENEWED

Business

First Name

STACEY E

Last Name

RIVERA

Business Name

STACEY E RIVERA

Original Issue Date

12/18/1985

Effective Date

12/18/1985

Expiration Date

03/31/1987

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005