MARICELA BUSTAMANTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175810

License Status

NOT RENEWED

Business

First Name

MARICELA

Last Name

BUSTAMANTE

Business Name

MARICELA BUSTAMANTE

Original Issue Date

04/24/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009