GUERLYNE FORESTAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152478

License Status

NOT RENEWED

Business

First Name

GUERLYNE

Last Name

FORESTAL

Business Name

GUERLYNE FORESTAL

Original Issue Date

12/12/2003

Effective Date

12/12/2003

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006