DERBLAY RENGIFO II Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166281

License Status

ACTIVE

Business

First Name

DERBLAY

Last Name

RENGIFO

Suffix

Business Name

DERBLAY RENGIFO II

Original Issue Date

01/25/2006

Effective Date

03/25/2026

Expiration Date

03/31/2027

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

03/25/2026