EDMUND EDDIE SERVIGON MOSQUERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148646

License Status

NOT RENEWED

Business

First Name

EDMUND EDDIE

Middle

SERVIGON

Last Name

MOSQUERA

Business Name

EDMUND EDDIE SERVIGON MOSQUERA

Original Issue Date

05/30/2003

Effective Date

04/16/2012

Expiration Date

03/31/2013

City

SCHILLER PARK

State

Zip

60176

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013