IVAN VLADISLAVOV KANAZIREV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160861

License Status

NOT RENEWED

Business

First Name

IVAN

Middle

VLADISLAVOV

Last Name

KANAZIREV

Business Name

IVAN VLADISLAVOV KANAZIREV

Original Issue Date

05/06/2005

Effective Date

05/06/2005

Expiration Date

03/31/2006

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006