RAFAEL LEYVA JR - Pharmacist License in Illinois | # 049122876

RAFAEL LEYVA JR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122876

License Status

NOT RENEWED

Business

N

First Name

RAFAEL

Last Name

LEYVA

Suffix

JR

Business Name

RAFAEL LEYVA JR

Original Issue Date

09/25/1998

Effective Date

03/24/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015