ALBERTO IVAN RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126292

License Status

NOT RENEWED

Business

First Name

ALBERTO

Middle

IVAN

Last Name

RIVERA

Business Name

ALBERTO IVAN RIVERA

Original Issue Date

06/11/1999

Effective Date

06/11/1999

Expiration Date

03/31/2000

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005