MAXINE S MORA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078660

License Status

INACTIVE

Business

First Name

MAXINE S

Last Name

MORA

Business Name

MAXINE S MORA

Original Issue Date

07/20/1983

Effective Date

03/11/2014

Expiration Date

03/31/2015

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

01/06/2015