AIDA D LASALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179897

License Status

NOT RENEWED

Business

First Name

AIDA

Middle

Last Name

LASALA

Prefix

Business Name

AIDA D LASALA

Original Issue Date

10/12/2007

Effective Date

01/23/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014