VICTORIANO AVILA DDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156673

License Status

NOT RENEWED

Business

First Name

VICTORIANO

Last Name

AVILA

Suffix

DDS

Business Name

VICTORIANO AVILA DDS

Original Issue Date

08/16/2004

Effective Date

08/16/2004

Expiration Date

03/31/2005

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005