ADA DAUTAJ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191609

License Status

NOT RENEWED

Business

First Name

ADA

Last Name

DAUTAJ

Business Name

ADA DAUTAJ

Original Issue Date

05/12/2009

Effective Date

02/08/2010

Expiration Date

03/31/2011

City

ELK GROVE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011