AZUCENA A ZABALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131180

License Status

NOT RENEWED

Business

First Name

AZUCENA

Middle

Last Name

ZABALA

Business Name

AZUCENA A ZABALA

Original Issue Date

06/14/2000

Effective Date

06/14/2000

Expiration Date

03/31/2002

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005