SAMUEL RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133853

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

RIVERA

Business Name

SAMUEL RIVERA

Original Issue Date

12/04/2000

Effective Date

12/04/2000

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005