GINA MARIE DIZON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154816

License Status

INACTIVE

Business

First Name

GINA

Middle

MARIE

Last Name

DIZON

Business Name

GINA MARIE DIZON

Original Issue Date

06/08/2004

Effective Date

02/26/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010