EXCELSA R SIMOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067681

License Status

NOT RENEWED

Business

First Name

EXCELSA R

Last Name

SIMOS

Business Name

EXCELSA R SIMOS

Original Issue Date

07/01/1977

Effective Date

07/01/1977

Expiration Date

01/01/1997

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005