MATTHEW R VIVAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167198

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

VIVAS

Business Name

MATTHEW R VIVAS

Original Issue Date

04/04/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008