TODD A CISNEROS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093771

License Status

NOT RENEWED

Business

First Name

TODD A

Last Name

CISNEROS

Business Name

TODD A CISNEROS

Original Issue Date

07/14/1990

Effective Date

07/14/1990

Expiration Date

03/31/1993

City

DEPUE

State

Zip

61322

County

BUREAU

Ever Disciplined

LastModifiedDate

10/17/2005