EDITH M BRISENO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134222

License Status

NOT RENEWED

Business

First Name

EDITH

Middle

Last Name

BRISENO

Business Name

EDITH M BRISENO

Original Issue Date

12/27/2000

Effective Date

12/27/2000

Expiration Date

03/31/2002

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005