ANTHONY JORDAN BUSTOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259734

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

JORDAN

Last Name

BUSTOS

Business Name

ANTHONY JORDAN BUSTOS

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

City

BEACH PARK

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019