MARIA LOURDES GATDULA MUTYA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119526

License Status

NOT RENEWED

Business

First Name

MARIA LOURDES

Middle

GATDULA

Last Name

MUTYA

Business Name

MARIA LOURDES GATDULA MUTYA

Original Issue Date

12/05/1997

Effective Date

12/05/1997

Expiration Date

03/31/2001

City

BEACH PARK

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005