KELLY J RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227227

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

RIVERA

Prefix

Business Name

KELLY J RIVERA

Original Issue Date

08/18/2014

Effective Date

02/22/2021

Expiration Date

05/31/2022

City

FOREST PARK

State

Zip

60130

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022