SURAFEL F BERESA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210929

License Status

NOT RENEWED

Business

First Name

SURAFEL

Middle

Last Name

BERESA

Prefix

Business Name

SURAFEL F BERESA

Original Issue Date

05/09/2012

Effective Date

02/05/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017