CARLOS VELAZQUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164013

License Status

NOT RENEWED

Business

First Name

CARLOS

Last Name

VELAZQUEZ

Business Name

CARLOS VELAZQUEZ

Original Issue Date

09/19/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/06/2009