ANGELA FAE INTIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243097

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

FAE

Last Name

INTIA

Business Name

ANGELA FAE INTIA

Original Issue Date

07/11/2016

Effective Date

07/11/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017