ASUNCION VITUALLA PACIFICO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236448

License Status

NOT RENEWED

Business

First Name

ASUNCION

Middle

VITUALLA

Last Name

PACIFICO

Business Name

ASUNCION VITUALLA PACIFICO

Original Issue Date

09/30/2015

Effective Date

09/30/2015

Expiration Date

03/31/2016

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016