JAIME LUCERO DICTAAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157944

License Status

NOT RENEWED

Business

First Name

JAIME

Middle

LUCERO

Last Name

DICTAAN

Business Name

JAIME LUCERO DICTAAN

Original Issue Date

11/18/2004

Effective Date

02/20/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021