IVAN ANTONIO PEREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148274

License Status

NOT RENEWED

Business

First Name

IVAN

Middle

ANTONIO

Last Name

PEREZ

Business Name

IVAN ANTONIO PEREZ

Original Issue Date

04/21/2003

Effective Date

04/21/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005