FREDDIELIZA M MARIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141280

License Status

NOT RENEWED

Business

First Name

FREDDIELIZA

Middle

Last Name

MARIO

Business Name

FREDDIELIZA M MARIO

Original Issue Date

03/11/2002

Effective Date

03/11/2002

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006