RAISA GWYNETH MALVEDA JAVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283561

License Status

NOT RENEWED

Business

First Name

RAISA GWYNETH

Middle

MALVEDA

Last Name

JAVAN

Business Name

RAISA GWYNETH MALVEDA JAVAN

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

05/31/2022

City

EVANSTON

State

Zip

60202

Ever Disciplined

LastModifiedDate

07/27/2022