ITZAYANA STEPHANIA MORA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271312

License Status

NOT RENEWED

Business

First Name

ITZAYANA

Middle

STEPHANIA

Last Name

MORA

Business Name

ITZAYANA STEPHANIA MORA

Original Issue Date

02/27/2020

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022