LAURA M MITA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214677

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

MITA

Prefix

Business Name

LAURA M MITA

Original Issue Date

11/21/2012

Effective Date

11/21/2012

Expiration Date

03/31/2013

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013