CONSUELA MARIA VANDERFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113149

License Status

NOT RENEWED

Business

First Name

CONSUELA MARIA

Last Name

VANDERFORD

Business Name

CONSUELA MARIA VANDERFORD

Original Issue Date

01/29/1996

Effective Date

01/29/1996

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005