LUIS ANGEL SIDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259760

License Status

NOT RENEWED

Business

First Name

LUIS

Middle

ANGEL

Last Name

SIDA

Business Name

LUIS ANGEL SIDA

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019