ANNA S CAPULONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107768

License Status

NOT RENEWED

Business

First Name

ANNA S

Last Name

CAPULONG

Business Name

ANNA S CAPULONG

Original Issue Date

08/08/1994

Effective Date

08/08/1994

Expiration Date

03/31/1995

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005