MAXIMA M DE VENECIA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144429

License Status

INACTIVE

Business

First Name

MAXIMA

Middle

Last Name

DE VENECIA

Business Name

MAXIMA M DE VENECIA

Original Issue Date

08/30/2002

Effective Date

03/20/2013

Expiration Date

03/31/2014

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

01/09/2014