PURIFICACION VIL LEJO GODUCO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058839

License Status

NOT RENEWED

Business

First Name

PURIFICACION VIL

Middle

LEJO

Last Name

GODUCO

Business Name

PURIFICACION VIL LEJO GODUCO

Original Issue Date

12/30/1972

Effective Date

12/30/1972

Expiration Date

03/31/1990

City

GLENDALE HTS

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005