RAFAEL M CORPUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107568

License Status

NOT RENEWED

Business

First Name

RAFAEL M

Last Name

CORPUZ

Business Name

RAFAEL M CORPUZ

Original Issue Date

07/13/1994

Effective Date

07/13/1994

Expiration Date

03/31/1999

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005