BENJAMIN GARCILAZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176121

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Last Name

GARCILAZO

Business Name

BENJAMIN GARCILAZO

Original Issue Date

05/03/2007

Effective Date

01/28/2009

Expiration Date

03/31/2010

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010