ERICA C BAEZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156104

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

BAEZA

Business Name

ERICA C BAEZA

Original Issue Date

07/20/2004

Effective Date

07/20/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005