CARMEN MORAN CISNEROS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197829

License Status

NOT RENEWED

Business

First Name

CARMEN

Last Name

MORAN CISNEROS

Business Name

CARMEN MORAN CISNEROS

Original Issue Date

04/14/2010

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012