LUZ M SANTIVANEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098353

License Status

NOT RENEWED

Business

First Name

LUZ M

Last Name

SANTIVANEZ

Business Name

LUZ M SANTIVANEZ

Original Issue Date

10/12/1991

Effective Date

02/10/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017