XITLALI VIVEROS - Pharmacist License in Illinois | # 049226748

XITLALI VIVEROS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226748

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015