VIVENCIO FORBES GLIANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100565

License Status

NOT RENEWED

Business

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

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005