ARCANGEL N CAPULONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165856

License Status

NOT RENEWED

Business

First Name

ARCANGEL

Middle

Last Name

CAPULONG

Business Name

ARCANGEL N CAPULONG

Original Issue Date

12/30/2005

Effective Date

12/30/2005

Expiration Date

03/31/2006

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006