CLENTERIA WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121005

License Status

NOT RENEWED

Business

First Name

CLENTERIA

Last Name

WILLIS

Business Name

CLENTERIA WILLIS

Original Issue Date

05/15/1998

Effective Date

04/23/2009

Expiration Date

03/31/2010

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010