JORGE EVARISTO VALDIVIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254000

License Status

NOT RENEWED

Business

First Name

JORGE

Middle

EVARISTO

Last Name

VALDIVIA

Business Name

JORGE EVARISTO VALDIVIA

Original Issue Date

10/27/2017

Effective Date

09/03/2021

Expiration Date

05/31/2022

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022