IDA LOU ATILES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112607

License Status

NOT RENEWED

Business

First Name

IDA

Middle

LOU

Last Name

ATILES

Business Name

IDA LOU ATILES

Original Issue Date

11/23/1995

Effective Date

11/23/1995

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005