KATHLEEN MAE YBANEZ CAPULONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160162

License Status

NOT RENEWED

Business

First Name

KATHLEEN MAE

Middle

YBANEZ

Last Name

CAPULONG

Business Name

KATHLEEN MAE YBANEZ CAPULONG

Original Issue Date

04/13/2005

Effective Date

03/10/2006

Expiration Date

03/31/2007

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007