BRENDA JESSENIA VIDAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161850

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

JESSENIA

Last Name

VIDAL

Business Name

BRENDA JESSENIA VIDAL

Original Issue Date

06/23/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007