CRISELLE JACQUELINE FAMORCA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120825

License Status

NOT RENEWED

Business

First Name

CRISELLE

Middle

JACQUELINE

Last Name

FAMORCA

Business Name

CRISELLE JACQUELINE FAMORCA

Original Issue Date

04/28/1998

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007