RICSILDA M DAZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188808

License Status

NOT RENEWED

Business

First Name

RICSILDA

Middle

Last Name

DAZA

Business Name

RICSILDA M DAZA

Original Issue Date

12/19/2008

Effective Date

03/23/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013