KEVIN SCOTT VIVIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129863

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

SCOTT

Last Name

VIVIAN

Business Name

KEVIN SCOTT VIVIAN

Original Issue Date

03/09/2000

Effective Date

03/09/2000

Expiration Date

03/31/2002

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005