CAROL ANN DE VIVO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136298

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

ANN

Last Name

DE VIVO

Business Name

CAROL ANN DE VIVO

Original Issue Date

05/15/2001

Effective Date

03/28/2018

Expiration Date

03/31/2019

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

07/15/2019