MARIA MILAGROS MADERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144225

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

MILAGROS

Last Name

MADERA

Business Name

MARIA MILAGROS MADERA

Original Issue Date

08/19/2002

Effective Date

08/19/2002

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005