IVELISSE AGOSTO MARIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239039

License Status

NOT RENEWED

Business

First Name

IVELISSE

Last Name

AGOSTO MARIN

Prefix

Business Name

IVELISSE AGOSTO MARIN

Original Issue Date

01/22/2016

Effective Date

01/22/2016

Expiration Date

03/31/2017

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017