JOSEISAAC GABRIEL TALAVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258357

License Status

NOT RENEWED

Business

First Name

JOSEISAAC

Middle

GABRIEL

Last Name

TALAVERA

Business Name

JOSEISAAC GABRIEL TALAVERA

Original Issue Date

06/05/2018

Effective Date

04/15/2019

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2021