ALICIA SUSANA UGARTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145387

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

SUSANA

Last Name

UGARTE

Business Name

ALICIA SUSANA UGARTE

Original Issue Date

10/17/2002

Effective Date

10/17/2002

Expiration Date

03/31/2004

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005