EVA M VIVIAN - Pharmacist License in Illinois | # 049094051

EVA M VIVIAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094051

License Status

NOT RENEWED

Business

N

First Name

EVA M

Last Name

VIVIAN

Business Name

EVA M VIVIAN

Original Issue Date

08/04/1990

Effective Date

08/04/1990

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005