MARIE RENEE ELIACIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123939

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

RENEE

Last Name

ELIACIN

Business Name

MARIE RENEE ELIACIN

Original Issue Date

11/30/1998

Effective Date

11/30/1998

Expiration Date

03/31/2004

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005