JUEN OMAR MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158202

License Status

NOT RENEWED

Business

First Name

JUEN

Middle

OMAR

Last Name

MEDINA

Business Name

JUEN OMAR MEDINA

Original Issue Date

12/07/2004

Effective Date

12/07/2004

Expiration Date

03/31/2006

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2006