MAYRA ROSA HERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173281

License Status

NOT RENEWED

Business

First Name

MAYRA

Middle

ROSA

Last Name

HERNANDEZ

Business Name

MAYRA ROSA HERNANDEZ

Original Issue Date

12/18/2006

Effective Date

12/18/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007