JUAN MANUEL VALDIVIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155375

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006