GELIQUE D AYALA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224218

License Status

NOT RENEWED

Business

Title

First Name

GELIQUE

Middle

Last Name

AYALA

Business Name

GELIQUE D AYALA MD

Original Issue Date

03/31/2014

Effective Date

03/31/2014

Expiration Date

03/31/2015

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015