JORGINA ELEVA VIDALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279176

License Status

NOT RENEWED

Business

First Name

JORGINA

Middle

ELEVA

Last Name

VIDALES

Business Name

JORGINA ELEVA VIDALES

Original Issue Date

02/04/2021

Effective Date

02/04/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022

Case Number

2021011677

Action

Suspension

Discipline Start Date

02/28/2022

Discipline End Date

04/19/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 04/19/2022.