BENJAMIN BAUZA LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203053

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

BAUZA

Last Name

LOPEZ

Business Name

BENJAMIN BAUZA LOPEZ

Original Issue Date

03/07/2011

Effective Date

03/07/2011

Expiration Date

03/31/2012

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012