PRIMO A BANEZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094177

License Status

INACTIVE

Business

First Name

PRIMO A

Last Name

BANEZ

Business Name

PRIMO A BANEZ

Original Issue Date

08/22/1990

Effective Date

01/17/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

01/06/2015