HAZEL BLOSSOM S SAPITULA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198199

License Status

INACTIVE

Business

First Name

HAZEL BLOSSOM

Middle

Last Name

SAPITULA

Prefix

Business Name

HAZEL BLOSSOM S SAPITULA

Original Issue Date

05/05/2010

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2012