DANIEL ADRIAN MAYORGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136020

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

ADRIAN

Last Name

MAYORGA

Business Name

DANIEL ADRIAN MAYORGA

Original Issue Date

04/24/2001

Effective Date

04/24/2001

Expiration Date

03/31/2002

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005