GERALD B DALIVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141312

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

DALIVA

Business Name

GERALD B DALIVA

Original Issue Date

03/11/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007