VIVINA MATEO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220405

License Status

NOT RENEWED

Business

First Name

VIVINA

Last Name

MATEO

Prefix

Business Name

VIVINA MATEO

Original Issue Date

08/28/2013

Effective Date

02/13/2014

Expiration Date

03/31/2015

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015