VARISA M SERIRODOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130207

License Status

NOT RENEWED

Business

First Name

VARISA

Middle

Last Name

SERIRODOM

Business Name

VARISA M SERIRODOM

Original Issue Date

03/23/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007