MITCHELL F BAGALANON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130110

License Status

NOT RENEWED

Business

First Name

MITCHELL

Middle

Last Name

BAGALANON

Business Name

MITCHELL F BAGALANON

Original Issue Date

03/21/2000

Effective Date

03/21/2000

Expiration Date

03/31/2001

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

10/21/2005