PRISMA BUSTAMANTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227759

License Status

NOT RENEWED

Business

First Name

PRISMA

Last Name

BUSTAMANTE

Business Name

PRISMA BUSTAMANTE

Original Issue Date

09/11/2014

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021