NINA M EVANGELISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079622

License Status

NOT RENEWED

Business

First Name

NINA M

Last Name

EVANGELISTA

Business Name

NINA M EVANGELISTA

Original Issue Date

03/13/1984

Effective Date

03/13/1984

Expiration Date

03/31/1989

City

DARIEN

State

Zip

60659

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005