JUAN MANUEL LEYVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171214

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

MANUEL

Last Name

LEYVA

Business Name

JUAN MANUEL LEYVA

Original Issue Date

09/12/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009