MIKE LAVIN MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254468

License Status

NOT RENEWED

Business

Title

First Name

MIKE

Last Name

LAVIN

Business Name

MIKE LAVIN MD

Original Issue Date

11/29/2017

Effective Date

02/07/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019