GERALDINE A CAPULONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202019

License Status

NOT RENEWED

Business

First Name

GERALDINE

Middle

Last Name

CAPULONG

Business Name

GERALDINE A CAPULONG

Original Issue Date

12/20/2010

Effective Date

03/25/2011

Expiration Date

03/31/2012

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012