TEQUILA S LUCAS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182197

License Status

INACTIVE

Business

First Name

TEQUILA

Middle

Last Name

LUCAS

Business Name

TEQUILA S LUCAS

Original Issue Date

02/15/2008

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010