DAISY IVETTE RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131400

License Status

NOT RENEWED

Business

First Name

DAISY

Middle

IVETTE

Last Name

RIVERA

Business Name

DAISY IVETTE RIVERA

Original Issue Date

06/29/2000

Effective Date

06/29/2000

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005