VIVENCIO FORBES GLIANE - Pharmacist License in Illinois | # 049100565

VIVENCIO FORBES GLIANE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100565

License Status

NOT RENEWED

Business

N

First Name

VIVENCIO FORBES

Last Name

GLIANE

Business Name

VIVENCIO FORBES GLIANE

Original Issue Date

06/29/1992

Effective Date

06/29/1992

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005