CORTRALVIAS M MACON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211434

License Status

NOT RENEWED

Business

First Name

CORTRALVIAS

Middle

Last Name

MACON

Business Name

CORTRALVIAS M MACON

Original Issue Date

06/01/2012

Effective Date

04/15/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014