ANDY CISNEROS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161984

License Status

NOT RENEWED

Business

First Name

ANDY

Last Name

CISNEROS

Business Name

ANDY CISNEROS

Original Issue Date

06/29/2005

Effective Date

06/29/2005

Expiration Date

03/31/2006

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006