MAYLENE P CORPUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170261

License Status

NOT RENEWED

Business

First Name

MAYLENE

Middle

Last Name

CORPUZ

Business Name

MAYLENE P CORPUZ

Original Issue Date

07/27/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009