AZUCENA FRAIRE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190775

License Status

NOT RENEWED

Business

First Name

AZUCENA

Last Name

FRAIRE

Business Name

AZUCENA FRAIRE

Original Issue Date

04/07/2009

Effective Date

02/11/2015

Expiration Date

03/31/2016

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

05/20/2016