MIRO BLAKE NIEVERA STA. MARIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288841

License Status

NOT RENEWED

Business

First Name

MIRO BLAKE

Middle

NIEVERA

Last Name

STA. MARIA

Business Name

MIRO BLAKE NIEVERA STA. MARIA

Original Issue Date

12/15/2021

Effective Date

04/09/2022

Expiration Date

03/31/2023

City

SCHAUMBURG

State

Zip

60193

Ever Disciplined

LastModifiedDate

09/07/2023