ANTONIO M VELAZQUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171840

License Status

NOT RENEWED

Business

First Name

ANTONIO

Middle

Last Name

VELAZQUEZ

Business Name

ANTONIO M VELAZQUEZ

Original Issue Date

10/06/2006

Effective Date

03/12/2009

Expiration Date

03/31/2010

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010