ILSE MICHELLE BRISENO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248006

License Status

NOT RENEWED

Business

First Name

ILSE

Middle

MICHELLE

Last Name

BRISENO

Business Name

ILSE MICHELLE BRISENO

Original Issue Date

01/24/2017

Effective Date

01/24/2017

Expiration Date

03/31/2018

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/19/2018