JAILY RUBIALES TIPAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142169

License Status

INACTIVE

Business

First Name

JAILY

Middle

RUBIALES

Last Name

TIPAN

Business Name

JAILY RUBIALES TIPAN

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

03/31/2005

City

SKOKIE

State

Zip

60077

Ever Disciplined

LastModifiedDate

10/20/2005