LEO S DELAVERIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022734

License Status

NOT RENEWED

Business

First Name

LEO S

Last Name

DELAVERIS

Business Name

LEO S DELAVERIS

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005