OMAR LEYVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117309

License Status

NOT RENEWED

Business

First Name

OMAR

Last Name

LEYVA

Business Name

OMAR LEYVA

Original Issue Date

04/21/1997

Effective Date

04/21/1997

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005