JANET H PROVIDO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053402

License Status

NOT RENEWED

Business

First Name

JANET H

Last Name

PROVIDO

Business Name

JANET H PROVIDO

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005