ELISABETH A PEREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153850

License Status

NOT RENEWED

Business

First Name

ELISABETH

Middle

Last Name

PEREZ

Business Name

ELISABETH A PEREZ

Original Issue Date

03/23/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

08/19/2015

Case Number

2007005248

Action

Suspension

Discipline Start Date

08/11/2015

Discipline End Date

08/18/2015

Discipline Reason

due to a diversion of controlled substance.