KYLE M DEMAVIVAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207013

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

Last Name

DEMAVIVAS

Business Name

KYLE M DEMAVIVAS

Original Issue Date

09/29/2011

Effective Date

03/30/2012

Expiration Date

03/31/2013

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013