JANE FRUEL IBASAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123154

License Status

NOT RENEWED

Business

First Name

JANE

Middle

FRUEL

Last Name

IBASAN

Business Name

JANE FRUEL IBASAN

Original Issue Date

10/07/1998

Effective Date

10/07/1998

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005