PHILIP ALEX LADISA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105788

License Status

NOT RENEWED

Business

First Name

PHILIP ALEX

Last Name

LADISA

Business Name

PHILIP ALEX LADISA

Original Issue Date

01/24/1994

Effective Date

01/24/1994

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005