SUSANA SOTO BAHENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199488

License Status

NOT RENEWED

Business

First Name

SUSANA

Last Name

SOTO BAHENA

Prefix

Business Name

SUSANA SOTO BAHENA

Original Issue Date

07/15/2010

Effective Date

08/18/2011

Expiration Date

03/31/2012

City

EVANSTON

State

Zip

60201

Ever Disciplined

LastModifiedDate

05/07/2012