CHANTARA C VANZALLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191068

License Status

NOT RENEWED

Business

First Name

CHANTARA

Middle

Last Name

VANZALLAS

Prefix

Business Name

CHANTARA C VANZALLAS

Original Issue Date

04/15/2009

Effective Date

04/15/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010