KRISTINA M VIA REQUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215181

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

Last Name

VIA REQUE

Business Name

KRISTINA M VIA REQUE

Original Issue Date

12/27/2012

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2015