MARY A BACUGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207865

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

BACUGAN

Business Name

MARY A BACUGAN

Original Issue Date

11/17/2011

Effective Date

04/02/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013