ALAN ANDRES LICUDINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139104

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

ANDRES

Last Name

LICUDINE

Business Name

ALAN ANDRES LICUDINE

Original Issue Date

11/07/2001

Effective Date

03/23/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016