SAMUEL PAUL CERVERA - Pharmacist License in Illinois | # 049170000

SAMUEL PAUL CERVERA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170000

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

PAUL

Last Name

CERVERA

Business Name

SAMUEL PAUL CERVERA

Original Issue Date

07/14/2006

Effective Date

07/14/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007