XITLALI VIVEROS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226748

License Status

NOT RENEWED

Business

First Name

XITLALI

Last Name

VIVEROS

Business Name

XITLALI VIVEROS

Original Issue Date

07/25/2014

Effective Date

07/25/2014

Expiration Date

03/31/2015

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015