MELITA RIVERA BANAYAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121252

License Status

NOT RENEWED

Business

First Name

MELITA

Middle

RIVERA

Last Name

BANAYAT

Business Name

MELITA RIVERA BANAYAT

Original Issue Date

05/29/1998

Effective Date

03/13/2018

Expiration Date

03/31/2019

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019