LYDIA CERVANTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112959

License Status

NOT RENEWED

Business

First Name

LYDIA

Last Name

CERVANTES

Business Name

LYDIA CERVANTES

Original Issue Date

01/09/1996

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60623

Ever Disciplined

LastModifiedDate

05/14/2007