JAVIER ALEJANDRO REVUELTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142657

License Status

NOT RENEWED

Business

First Name

JAVIER

Middle

ALEJANDRO

Last Name

REVUELTA

Business Name

JAVIER ALEJANDRO REVUELTA

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005