MARY RYAN RIVERA BANAYAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189890

License Status

NOT RENEWED

Business

First Name

MARY RYAN

Middle

RIVERA

Last Name

BANAYAT

Business Name

MARY RYAN RIVERA BANAYAT

Original Issue Date

02/24/2009

Effective Date

03/17/2010

Expiration Date

03/31/2011

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011