SELENA DE LA RIVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279949

License Status

NOT RENEWED

Business

First Name

SELENA

Last Name

DE LA RIVA

Business Name

SELENA DE LA RIVA

Original Issue Date

02/25/2021

Effective Date

04/01/2022

Expiration Date

03/31/2023

City

LYONS

State

Zip

60534

Ever Disciplined

LastModifiedDate

09/07/2023