BERTHA NANCY MORA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116777

License Status

NOT RENEWED

Business

First Name

BERTHA

Middle

NANCY

Last Name

MORA

Business Name

BERTHA NANCY MORA

Original Issue Date

03/13/1997

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007