CLARISSA PERALTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223791

License Status

NOT RENEWED

Business

First Name

CLARISSA

Last Name

PERALTA

Business Name

CLARISSA PERALTA

Original Issue Date

03/10/2014

Effective Date

03/10/2014

Expiration Date

03/31/2015

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2015