AMY T VAZQUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159567

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

VAZQUEZ

Business Name

AMY T VAZQUEZ

Original Issue Date

03/16/2005

Effective Date

03/16/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006