MARY MOCTEZUMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187002

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

MOCTEZUMA

Business Name

MARY MOCTEZUMA

Original Issue Date

09/16/2008

Effective Date

09/16/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009