AWILDA ROSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141377

License Status

NOT RENEWED

Business

First Name

AWILDA

Last Name

ROSA

Business Name

AWILDA ROSA

Original Issue Date

03/13/2002

Effective Date

03/13/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005