VIDA T MORENO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212601

License Status

NOT RENEWED

Business

First Name

VIDA

Middle

Last Name

MORENO

Business Name

VIDA T MORENO

Original Issue Date

08/01/2012

Effective Date

02/28/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014