LAUREN MARIE DAVIERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267147

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

MARIE

Last Name

DAVIERA

Business Name

LAUREN MARIE DAVIERA

Original Issue Date

08/05/2019

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/27/2022