RENATA MITA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132180

License Status

NOT RENEWED

Business

First Name

RENATA

Last Name

MITA

Business Name

RENATA MITA

Original Issue Date

08/15/2000

Effective Date

08/15/2000

Expiration Date

03/31/2005

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005