CLAUDIA SOPHEANY TIV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166733

License Status

NOT RENEWED

Business

First Name

CLAUDIA

Middle

SOPHEANY

Last Name

TIV

Business Name

CLAUDIA SOPHEANY TIV

Original Issue Date

03/14/2006

Effective Date

03/14/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007