ETHAN TIMOTHY CAVALLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049312178

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

TIMOTHY

Last Name

CAVALLO

Business Name

ETHAN TIMOTHY CAVALLO

Original Issue Date

05/14/2024

Effective Date

05/14/2024

Expiration Date

03/31/2025

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/08/2025