VITALY LAYVANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159663

License Status

NOT RENEWED

Business

First Name

VITALY

Last Name

LAYVANT

Business Name

VITALY LAYVANT

Original Issue Date

03/22/2005

Effective Date

03/22/2005

Expiration Date

03/31/2006

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006