REY ANTONIO DELA PROVIDENCIA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123204

License Status

ACTIVE

Business

First Name

REY

Middle

ANTONIO

Last Name

DELA PROVIDENCIA

Business Name

REY ANTONIO DELA PROVIDENCIA

Original Issue Date

10/13/1998

Effective Date

05/13/2025

Expiration Date

03/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2026