CAMILO G PERALTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174243

License Status

NOT RENEWED

Business

First Name

CAMILO

Middle

Last Name

PERALTA

Business Name

CAMILO G PERALTA

Original Issue Date

02/09/2007

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012