IVAN D HOME Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156701

License Status

INACTIVE

Business

First Name

IVAN

Middle

Last Name

HOME

Business Name

IVAN D HOME

Original Issue Date

08/17/2004

Effective Date

04/07/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010