KEISSA J MORALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133034

License Status

NOT RENEWED

Business

First Name

KEISSA

Middle

Last Name

MORALES

Business Name

KEISSA J MORALES

Original Issue Date

10/11/2000

Effective Date

10/11/2000

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005