RAFAEL CARMONA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194143

License Status

NOT RENEWED

Business

First Name

RAFAEL

Last Name

CARMONA

Business Name

RAFAEL CARMONA

Original Issue Date

09/10/2009

Effective Date

09/10/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010