IVAN S MAYORGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235816

License Status

NOT RENEWED

Business

First Name

IVAN

Middle

Last Name

MAYORGA

Business Name

IVAN S MAYORGA

Original Issue Date

08/26/2015

Effective Date

03/20/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021