OMAR LEYVA - Pharmacist License in Illinois | # 049117309

OMAR LEYVA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117309

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005