MAYRA LIZBETH TAVIRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253514

License Status

NOT RENEWED

Business

First Name

MAYRA

Middle

LIZBETH

Last Name

TAVIRA

Business Name

MAYRA LIZBETH TAVIRA

Original Issue Date

10/03/2017

Effective Date

10/03/2017

Expiration Date

03/31/2018

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/19/2018