DAMARIS J PERALTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157334

License Status

NOT RENEWED

Business

First Name

DAMARIS

Middle

Last Name

PERALTA

Business Name

DAMARIS J PERALTA

Original Issue Date

10/06/2004

Effective Date

03/13/2012

Expiration Date

03/31/2013

City

BROADVIEW

State

Zip

60155

Ever Disciplined

LastModifiedDate

05/06/2013