MARIBEL BAEZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171394

License Status

NOT RENEWED

Business

First Name

MARIBEL

Last Name

BAEZA

Business Name

MARIBEL BAEZA

Original Issue Date

09/15/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008