MARISOL BUSTAMANTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267846

License Status

NOT RENEWED

Business

First Name

MARISOL

Last Name

BUSTAMANTE

Business Name

MARISOL BUSTAMANTE

Original Issue Date

09/12/2019

Effective Date

09/12/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021