JUANITO M MARAVILLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140684

License Status

NOT RENEWED

Business

First Name

JUANITO

Middle

Last Name

MARAVILLA

Business Name

JUANITO M MARAVILLA

Original Issue Date

02/15/2002

Effective Date

02/15/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005