CARMEN MAE PEREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140774

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

MAE

Last Name

PEREZ

Business Name

CARMEN MAE PEREZ

Original Issue Date

02/20/2002

Effective Date

02/20/2002

Expiration Date

03/31/2003

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005