LAI AMBAYEC ICAO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162859

License Status

NOT RENEWED

Business

First Name

LAI

Middle

AMBAYEC

Last Name

ICAO

Business Name

LAI AMBAYEC ICAO

Original Issue Date

08/09/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

HARWOOD HEIGHTS

State

Zip

60706

Ever Disciplined

LastModifiedDate

05/02/2008