MICHAEL R SPIVAKOV - Pharmacist License in Illinois | # 049201550

MICHAEL R SPIVAKOV

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201550

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

R

Last Name

SPIVAKOV

Business Name

MICHAEL R SPIVAKOV

Original Issue Date

11/15/2010

Effective Date

11/15/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

12/08/2012