LAILANI ELUMBA BACCAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149609

License Status

NOT RENEWED

Business

First Name

LAILANI

Middle

ELUMBA

Last Name

BACCAY

Business Name

LAILANI ELUMBA BACCAY

Original Issue Date

07/25/2003

Effective Date

07/25/2003

Expiration Date

03/31/2004

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005