LUISMERWIN D INCIONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107535

License Status

NOT RENEWED

Business

First Name

LUISMERWIN D

Last Name

INCIONG

Business Name

LUISMERWIN D INCIONG

Original Issue Date

07/11/1994

Effective Date

07/11/1994

Expiration Date

03/31/1995

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005