SUE ANN V SEVILLEJA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157374

License Status

NOT RENEWED

Business

First Name

SUE ANN

Middle

Last Name

SEVILLEJA

Business Name

SUE ANN V SEVILLEJA

Original Issue Date

10/07/2004

Effective Date

10/07/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005