MYCHALL ROEL O CORNEJO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210098

License Status

NOT RENEWED

Business

First Name

MYCHALL ROEL

Middle

Last Name

CORNEJO

Prefix

Business Name

MYCHALL ROEL O CORNEJO

Original Issue Date

04/03/2012

Effective Date

03/30/2015

Expiration Date

03/31/2016

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016