LESLIE C VAZQUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197520

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

VAZQUEZ

Business Name

LESLIE C VAZQUEZ

Original Issue Date

03/29/2010

Effective Date

02/07/2011

Expiration Date

03/31/2012

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012