EDGAR MACIAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144850

License Status

NOT RENEWED

Business

First Name

EDGAR

Last Name

MACIAS

Business Name

EDGAR MACIAS

Original Issue Date

09/25/2002

Effective Date

09/25/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005