CAMI JADE REVILLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288794

License Status

NOT RENEWED

Business

First Name

CAMI

Middle

JADE

Last Name

REVILLA

Business Name

CAMI JADE REVILLA

Original Issue Date

12/13/2021

Effective Date

01/11/2024

Expiration Date

03/31/2025

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2025