JACQUELINE MARITA PEZAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272979

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

MARITA

Last Name

PEZAN

Business Name

JACQUELINE MARITA PEZAN

Original Issue Date

04/28/2020

Effective Date

04/28/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021