MARTA BAKOURIS OD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154898

License Status

NOT RENEWED

Business

Title

First Name

MARTA

Last Name

BAKOURIS

Business Name

MARTA BAKOURIS OD

Original Issue Date

06/10/2004

Effective Date

06/10/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005