ELMER S BUNGAG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155979

License Status

NOT RENEWED

Business

First Name

ELMER

Middle

Last Name

BUNGAG

Business Name

ELMER S BUNGAG

Original Issue Date

07/07/2004

Effective Date

07/07/2004

Expiration Date

03/31/2006

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006