LAZARO GERARDO CISNEROS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259938

License Status

NOT RENEWED

Business

First Name

LAZARO

Middle

GERARDO

Last Name

CISNEROS

Business Name

LAZARO GERARDO CISNEROS

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019