ANGEL CUSTODIO HERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121765

License Status

NOT RENEWED

Business

First Name

ANGEL

Middle

CUSTODIO

Last Name

HERNANDEZ

Business Name

ANGEL CUSTODIO HERNANDEZ

Original Issue Date

06/25/1998

Effective Date

02/29/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60625

Ever Disciplined

LastModifiedDate

05/10/2017