LUIS ANDRES SUSTAITA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257308

License Status

NOT RENEWED

Business

First Name

LUIS

Middle

ANDRES

Last Name

SUSTAITA

Business Name

LUIS ANDRES SUSTAITA

Original Issue Date

04/05/2018

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

WESTCHESTER

State

Zip

60154

Ever Disciplined

LastModifiedDate

07/20/2021