BARBARA M POTENZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155998

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

Last Name

POTENZA

Business Name

BARBARA M POTENZA

Original Issue Date

07/09/2004

Effective Date

07/09/2004

Expiration Date

03/31/2005

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005