MARIYAH NYDIA RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293803

License Status

NOT RENEWED

Business

First Name

MARIYAH

Middle

NYDIA

Last Name

RIVERA

Business Name

MARIYAH NYDIA RIVERA

Original Issue Date

07/02/2022

Effective Date

07/02/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023