LORENZO NMI VAZQUEZ

Business Entity
NOT RENEWED

Pharmacist

PHARMACY TECHNICIAN

049073687

NOT RENEWED

N

LORENZO NMI

VAZQUEZ

LORENZO NMI VAZQUEZ

10/03/1980

10/03/1980

03/31/1984

CHICAGO

IL

60618

COOK

Y

10/17/2005

1987000300

Termination

01/03/1991

Submitted a non-bankable remittance to the Department.