ISRAEL D BANADERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125873

License Status

NOT RENEWED

Business

First Name

ISRAEL

Middle

Last Name

BANADERA

Business Name

ISRAEL D BANADERA

Original Issue Date

05/12/1999

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

07/23/2007