MYRALIZA MAMHOT ASO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117542

License Status

NOT RENEWED

Business

First Name

MYRALIZA

Middle

MAMHOT

Last Name

ASO

Business Name

MYRALIZA MAMHOT ASO

Original Issue Date

05/13/1997

Effective Date

05/13/1997

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005