TERESITA BUENVIA BASA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115219

License Status

NOT RENEWED

Business

First Name

TERESITA BUENVIA

Last Name

BASA

Business Name

TERESITA BUENVIA BASA

Original Issue Date

09/09/1996

Effective Date

09/09/1996

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005