MAR L NATIVIDAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069883

License Status

NOT RENEWED

Business

First Name

MAR L

Last Name

NATIVIDAD

Business Name

MAR L NATIVIDAD

Original Issue Date

08/07/1978

Effective Date

08/07/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005