JIM K DE LA ROCA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234026

License Status

NOT RENEWED

Business

First Name

JIM

Middle

Last Name

DE LA ROCA

Business Name

JIM K DE LA ROCA

Original Issue Date

06/24/2015

Effective Date

03/01/2016

Expiration Date

03/31/2017

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017