IVAN P MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175459

License Status

NOT RENEWED

Business

First Name

IVAN

Middle

Last Name

MEDINA

Business Name

IVAN P MEDINA

Original Issue Date

04/10/2007

Effective Date

04/10/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008