LYDIA REBOLLAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168041

License Status

NOT RENEWED

Business

First Name

LYDIA

Last Name

REBOLLAR

Business Name

LYDIA REBOLLAR

Original Issue Date

04/21/2006

Effective Date

05/22/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010