GUSTAVO F VIDAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063179

License Status

NOT RENEWED

Business

First Name

GUSTAVO F

Last Name

VIDAL

Business Name

GUSTAVO F VIDAL

Original Issue Date

03/21/1975

Effective Date

03/21/1975

Expiration Date

01/01/1997

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005