MARIANA MAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069839

License Status

NOT RENEWED

Business

First Name

MARIANA

Last Name

MAL

Business Name

MARIANA MAL

Original Issue Date

07/28/1978

Effective Date

07/28/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005