ILLEANA N AMPARAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057310

License Status

NOT RENEWED

Business

First Name

ILLEANA N

Last Name

AMPARAN

Business Name

ILLEANA N AMPARAN

Original Issue Date

02/02/1972

Effective Date

02/02/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005