IVAN ALEXANDER VALENZUELA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135913

License Status

NOT RENEWED

Business

First Name

IVAN

Middle

ALEXANDER

Last Name

VALENZUELA

Business Name

IVAN ALEXANDER VALENZUELA

Original Issue Date

04/17/2001

Effective Date

04/17/2001

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005