MARITZA BARRAZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064219

License Status

NOT RENEWED

Business

First Name

MARITZA

Last Name

BARRAZA

Business Name

MARITZA BARRAZA

Original Issue Date

09/26/1975

Effective Date

09/26/1975

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005