OSIRIS V GUEVARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158704

License Status

NOT RENEWED

Business

First Name

OSIRIS

Middle

Last Name

GUEVARA

Business Name

OSIRIS V GUEVARA

Original Issue Date

12/30/2004

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019