AWILDA LISSETTE CRUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191587

License Status

NOT RENEWED

Business

First Name

AWILDA

Middle

LISSETTE

Last Name

CRUZ

Business Name

AWILDA LISSETTE CRUZ

Original Issue Date

05/11/2009

Effective Date

01/21/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016