MARK A RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126026

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

RIVERA

Business Name

MARK A RIVERA

Original Issue Date

05/24/1999

Effective Date

05/24/1999

Expiration Date

03/31/2001

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005