ANGEL CLYDE CAPULONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115426

License Status

NOT RENEWED

Business

First Name

ANGEL CLYDE

Last Name

CAPULONG

Business Name

ANGEL CLYDE CAPULONG

Original Issue Date

09/30/1996

Effective Date

09/30/1996

Expiration Date

03/31/1999

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005