MARIA NERISA REYES DIMATULAC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157833

License Status

NOT RENEWED

Business

First Name

MARIA NERISA

Middle

REYES

Last Name

DIMATULAC

Business Name

MARIA NERISA REYES DIMATULAC

Original Issue Date

11/15/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ELGIN

State

Zip

60124

Ever Disciplined

LastModifiedDate

05/02/2008