ARLENE MAE DECOLONGON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153012

License Status

NOT RENEWED

Business

First Name

ARLENE

Middle

MAE

Last Name

DECOLONGON

Business Name

ARLENE MAE DECOLONGON

Original Issue Date

01/26/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007