RAFAEL LEYVA JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122876

License Status

NOT RENEWED

Business

First Name

RAFAEL

Last Name

LEYVA

Suffix

Business Name

RAFAEL LEYVA JR

Original Issue Date

09/25/1998

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015