PAMELA N CAPOUCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152928

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

Last Name

CAPOUCH

Business Name

PAMELA N CAPOUCH

Original Issue Date

01/20/2004

Effective Date

04/07/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017