GUSTAVO BAHENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213124

License Status

NOT RENEWED

Business

First Name

GUSTAVO

Last Name

BAHENA

Prefix

Business Name

GUSTAVO BAHENA

Original Issue Date

08/27/2012

Effective Date

08/27/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013