ALEXANDRA L MIRVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202765

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

MIRVIS

Business Name

ALEXANDRA L MIRVIS

Original Issue Date

02/16/2011

Effective Date

02/16/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012