LUCENA BALUAN RACELA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159284

License Status

NOT RENEWED

Business

First Name

LUCENA

Middle

BALUAN

Last Name

RACELA

Business Name

LUCENA BALUAN RACELA

Original Issue Date

02/17/2005

Effective Date

02/17/2005

Expiration Date

03/31/2006

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006