MICHAEL J CHAVEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158110

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

CHAVEZ

Business Name

MICHAEL J CHAVEZ

Original Issue Date

12/03/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007