LARISSA MARIE RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130538

License Status

NOT RENEWED

Business

First Name

LARISSA

Middle

MARIE

Last Name

RIVERA

Business Name

LARISSA MARIE RIVERA

Original Issue Date

04/14/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007