THEODORE HERVAS MARTIREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196073

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

HERVAS

Last Name

MARTIREZ

Business Name

THEODORE HERVAS MARTIREZ

Original Issue Date

01/05/2010

Effective Date

01/12/2011

Expiration Date

03/31/2012

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012