MACARIO R MAVAWILI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170331

License Status

INACTIVE

Business

First Name

MACARIO

Middle

Last Name

MAVAWILI

Business Name

MACARIO R MAVAWILI

Original Issue Date

07/31/2006

Effective Date

04/20/2012

Expiration Date

03/31/2013

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2012