CYNTHIA T URBACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156751

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

URBACK

Business Name

CYNTHIA T URBACK

Original Issue Date

08/18/2004

Effective Date

08/18/2004

Expiration Date

03/31/2006

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006