MIRA M BAILUC Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168216

License Status

INACTIVE

Business

First Name

MIRA

Middle

Last Name

BAILUC

Business Name

MIRA M BAILUC

Original Issue Date

04/27/2006

Effective Date

01/17/2014

Expiration Date

03/31/2015

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

01/06/2015