JAY DE LEON PADILLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149626

License Status

NOT RENEWED

Business

First Name

JAY

Middle

DE LEON

Last Name

PADILLA

Business Name

JAY DE LEON PADILLA

Original Issue Date

07/28/2003

Effective Date

07/28/2003

Expiration Date

03/31/2005

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005