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.