GEORGETTE T FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156274

License Status

NOT RENEWED

Business

First Name

GEORGETTE

Middle

Last Name

FIELDS

Business Name

GEORGETTE T FIELDS

Original Issue Date

07/28/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007