GLEN E DE GUZMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139405

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

Last Name

DE GUZMAN

Business Name

GLEN E DE GUZMAN

Original Issue Date

11/29/2001

Effective Date

11/29/2001

Expiration Date

03/31/2005

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005