JUAN MANUEL VALDIVIA - Pharmacist License in Illinois | # 049155375

JUAN MANUEL VALDIVIA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155375

License Status

NOT RENEWED

Business

N

First Name

JUAN

Middle

MANUEL

Last Name

VALDIVIA

Business Name

JUAN MANUEL VALDIVIA

Original Issue Date

06/18/2004

Effective Date

06/18/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006