ANA PRUDENCIA DAYRIT EDQUIBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141798

License Status

NOT RENEWED

Business

First Name

ANA PRUDENCIA

Middle

DAYRIT

Last Name

EDQUIBAN

Business Name

ANA PRUDENCIA DAYRIT EDQUIBAN

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

03/31/2006

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006