ALEXANDRA NICHOLE GAITAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163653

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

NICHOLE

Last Name

GAITAN

Business Name

ALEXANDRA NICHOLE GAITAN

Original Issue Date

09/07/2005

Effective Date

09/07/2005

Expiration Date

03/31/2006

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006