JUVANDY ANTONIO RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155393

License Status

NOT RENEWED

Business

First Name

JUVANDY

Middle

ANTONIO

Last Name

RIVERA

Business Name

JUVANDY ANTONIO RIVERA

Original Issue Date

06/18/2004

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019