DEYAN PETKOV IVANOV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139431

License Status

NOT RENEWED

Business

First Name

DEYAN

Middle

PETKOV

Last Name

IVANOV

Business Name

DEYAN PETKOV IVANOV

Original Issue Date

11/29/2001

Effective Date

11/29/2001

Expiration Date

03/31/2003

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005