ERNESTINA MEDINA STAGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223351

License Status

NOT RENEWED

Business

First Name

ERNESTINA

Middle

MEDINA

Last Name

STAGEN

Business Name

ERNESTINA MEDINA STAGEN

Original Issue Date

02/11/2014

Effective Date

02/03/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016