OMAR M AYALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093216

License Status

NOT RENEWED

Business

First Name

OMAR M

Last Name

AYALA

Business Name

OMAR M AYALA

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005