LESLIE RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140612

License Status

NOT RENEWED

Business

First Name

LESLIE

Last Name

RIVERA

Business Name

LESLIE RIVERA

Original Issue Date

02/15/2002

Effective Date

02/15/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005