ENRIQUE J AMEZAGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085118

License Status

NOT RENEWED

Business

First Name

ENRIQUE J

Last Name

AMEZAGA

Business Name

ENRIQUE J AMEZAGA

Original Issue Date

08/29/1987

Effective Date

03/02/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018