BIANCA VICTORIA DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153934

License Status

NOT RENEWED

Business

First Name

BIANCA

Middle

VICTORIA

Last Name

DOUGLAS

Business Name

BIANCA VICTORIA DOUGLAS

Original Issue Date

04/02/2004

Effective Date

04/02/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005