AMANDA KAYE VIVAR - Pharmacist License in Illinois | # 049266811

AMANDA KAYE VIVAR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266811

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

KAYE

Last Name

VIVAR

Business Name

AMANDA KAYE VIVAR

Original Issue Date

07/23/2019

Effective Date

07/23/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021