TERESITA V LICUANAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060135

License Status

NOT RENEWED

Business

First Name

TERESITA V

Last Name

LICUANAN

Business Name

TERESITA V LICUANAN

Original Issue Date

08/24/1973

Effective Date

08/24/1973

Expiration Date

03/31/1988

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005