ZACARIAS TALA-TA MIRA III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115191

License Status

NOT RENEWED

Business

First Name

ZACARIAS TALA-TA

Last Name

MIRA III

Business Name

ZACARIAS TALA-TA MIRA III

Original Issue Date

09/06/1996

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007