MICHAEL AYALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153398

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

AYALA

Business Name

MICHAEL AYALA

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005