PABLO IDOS NATIVIDAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160068

License Status

NOT RENEWED

Business

First Name

PABLO

Middle

IDOS

Last Name

NATIVIDAD

Business Name

PABLO IDOS NATIVIDAD

Original Issue Date

04/11/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007