SAMUEL PAUL CERVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170000

License Status

NOT RENEWED

Business

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

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007