NERISSA CONSTANTINO AGUSTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183097

License Status

NOT RENEWED

Business

First Name

NERISSA

Middle

CONSTANTINO

Last Name

AGUSTIN

Business Name

NERISSA CONSTANTINO AGUSTIN

Original Issue Date

03/26/2008

Effective Date

03/26/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009