LISETTE AYALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156374

License Status

NOT RENEWED

Business

First Name

LISETTE

Last Name

AYALA

Business Name

LISETTE AYALA

Original Issue Date

08/03/2004

Effective Date

02/09/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011