SELINA A AZCUNA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173434

License Status

NOT RENEWED

Business

First Name

SELINA

Middle

Last Name

AZCUNA

Business Name

SELINA A AZCUNA

Original Issue Date

01/02/2007

Effective Date

01/02/2007

Expiration Date

03/31/2007

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007