PRISCILLA T CONCHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154681

License Status

NOT RENEWED

Business

First Name

PRISCILLA

Middle

Last Name

CONCHA

Business Name

PRISCILLA T CONCHA

Original Issue Date

05/28/2004

Effective Date

09/17/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010