LILAS D CISNEROS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099367

License Status

NOT RENEWED

Business

First Name

LILAS D

Last Name

CISNEROS

Business Name

LILAS D CISNEROS

Original Issue Date

02/11/1992

Effective Date

02/11/1992

Expiration Date

03/31/1993

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005