JUAN H RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157519

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

RIVERA

Business Name

JUAN H RIVERA

Original Issue Date

10/20/2004

Effective Date

02/21/2006

Expiration Date

03/31/2007

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/12/2007