MARISELA MOCTEZUMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175876

License Status

NOT RENEWED

Business

First Name

MARISELA

Last Name

MOCTEZUMA

Business Name

MARISELA MOCTEZUMA

Original Issue Date

04/25/2007

Effective Date

04/25/2007

Expiration Date

03/31/2008

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008