CONRADO B SARVIDA JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153532

License Status

NOT RENEWED

Business

First Name

CONRADO

Middle

Last Name

SARVIDA

Suffix

Business Name

CONRADO B SARVIDA JR

Original Issue Date

03/10/2004

Effective Date

03/20/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014

Case Number

2010005869

Action

Suspension

Discipline Start Date

10/03/2010

Discipline End Date

12/07/2010

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax release received from Department of Revenue on 12/08/2010.