GERALD D DE GUZMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134072

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

DE GUZMAN

Business Name

GERALD D DE GUZMAN

Original Issue Date

12/14/2000

Effective Date

12/14/2000

Expiration Date

03/31/2004

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005