RAFAEL PERALTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271137

License Status

NOT RENEWED

Business

First Name

RAFAEL

Last Name

PERALTA

Business Name

RAFAEL PERALTA

Original Issue Date

02/21/2020

Effective Date

02/21/2020

Expiration Date

03/31/2021

City

SLEEPY HOLLOW

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

07/20/2021