MATTHEW R VIVAS - Pharmacist License in Illinois | # 049167198

MATTHEW R VIVAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167198

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

R

Last Name

VIVAS

Business Name

MATTHEW R VIVAS

Original Issue Date

04/04/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008