TINA B OLIVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157074

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

OLIVA

Business Name

TINA B OLIVA

Original Issue Date

09/02/2004

Effective Date

09/02/2004

Expiration Date

03/31/2005

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005