MAYRA MADERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255099

License Status

NOT RENEWED

Business

First Name

MAYRA

Last Name

MADERA

Business Name

MAYRA MADERA

Original Issue Date

12/20/2017

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021