GREGORY BRYAN RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251249

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

BRYAN

Last Name

RIVERA

Business Name

GREGORY BRYAN RIVERA

Original Issue Date

06/14/2017

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

01/08/2021