DECIDERIO MEDINA JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203980

License Status

NOT RENEWED

Business

First Name

DECIDERIO

Last Name

MEDINA

Suffix

Business Name

DECIDERIO MEDINA JR

Original Issue Date

05/04/2011

Effective Date

02/18/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015