PAYTON B RAVALLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221473

License Status

NOT RENEWED

Business

First Name

PAYTON

Middle

Last Name

RAVALLI

Business Name

PAYTON B RAVALLI

Original Issue Date

10/16/2013

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

WAYNE

State

Zip

60184

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015