ELISA PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121258

License Status

NOT RENEWED

Business

First Name

ELISA

Last Name

PARK

Business Name

ELISA PARK

Original Issue Date

06/01/1998

Effective Date

06/01/1998

Expiration Date

03/31/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005