MIRIAN LETICIA DEGRACIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188087

License Status

NOT RENEWED

Business

First Name

MIRIAN

Middle

LETICIA

Last Name

DEGRACIA

Business Name

MIRIAN LETICIA DEGRACIA

Original Issue Date

10/30/2008

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022