LIDIANE TAVARES PULEIKIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214890

License Status

NOT RENEWED

Business

First Name

LIDIANE

Middle

TAVARES

Last Name

PULEIKIS

Business Name

LIDIANE TAVARES PULEIKIS

Original Issue Date

12/05/2012

Effective Date

03/30/2017

Expiration Date

03/31/2018

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018