GINA R BANEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194271

License Status

NOT RENEWED

Business

First Name

GINA

Middle

Last Name

BANEZ

Business Name

GINA R BANEZ

Original Issue Date

09/16/2009

Effective Date

01/29/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011