JUAN M BECERRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153578

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

BECERRA

Business Name

JUAN M BECERRA

Original Issue Date

03/11/2004

Effective Date

03/11/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005