CECILIO O MERCOLEZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147816

License Status

NOT RENEWED

Business

First Name

CECILIO

Middle

Last Name

MERCOLEZA

Business Name

CECILIO O MERCOLEZA

Original Issue Date

04/03/2003

Effective Date

04/03/2003

Expiration Date

03/31/2005

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005