YAMAIRA Y VIDAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155247

License Status

NOT RENEWED

Business

First Name

YAMAIRA

Middle

Last Name

VIDAL

Business Name

YAMAIRA Y VIDAL

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

03/31/2005

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005