ENRIQUE JOSE ANZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140102

License Status

NOT RENEWED

Business

First Name

ENRIQUE

Middle

JOSE

Last Name

ANZA

Business Name

ENRIQUE JOSE ANZA

Original Issue Date

01/17/2002

Effective Date

02/14/2013

Expiration Date

03/31/2014

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014