JOSE JACA AGUILA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156949

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

JACA

Last Name

AGUILA

Business Name

JOSE JACA AGUILA

Original Issue Date

08/26/2004

Effective Date

08/26/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006