NORIEL T BUNGUBUNG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148722

License Status

NOT RENEWED

Business

First Name

NORIEL

Middle

Last Name

BUNGUBUNG

Business Name

NORIEL T BUNGUBUNG

Original Issue Date

06/05/2003

Effective Date

06/05/2003

Expiration Date

03/31/2005

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005