THOMAS J REVITTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293356

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

REVITTE

Business Name

THOMAS J REVITTE

Original Issue Date

06/03/2009

Effective Date

01/11/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012