TATYANA ANGELISSE RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283119

License Status

NOT RENEWED

Business

First Name

TATYANA

Middle

ANGELISSE

Last Name

RIVERA

Business Name

TATYANA ANGELISSE RIVERA

Original Issue Date

06/11/2021

Effective Date

06/11/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022