REVA CHANNAH GOLDBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267677

License Status

NOT RENEWED

Business

First Name

REVA

Middle

CHANNAH

Last Name

GOLDBERG

Business Name

REVA CHANNAH GOLDBERG

Original Issue Date

09/04/2019

Effective Date

09/04/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021