JOSE ALDECOA DIZON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158155

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

ALDECOA

Last Name

DIZON

Business Name

JOSE ALDECOA DIZON

Original Issue Date

12/06/2004

Effective Date

11/01/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008