MALISA AVILA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111367

License Status

NOT RENEWED

Business

First Name

MALISA

Last Name

AVILA

Business Name

MALISA AVILA

Original Issue Date

08/04/1995

Effective Date

08/04/1995

Expiration Date

03/31/2001

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005