PENNY P CARRASQUILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153265

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

Last Name

CARRASQUILLO

Business Name

PENNY P CARRASQUILLO

Original Issue Date

02/13/2004

Effective Date

02/13/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005