ANTONIA M GALVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157914

License Status

NOT RENEWED

Business

First Name

ANTONIA

Middle

Last Name

GALVAN

Business Name

ANTONIA M GALVAN

Original Issue Date

11/17/2004

Effective Date

11/17/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005