STACY DIANE AVELAR MANJARREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276057

License Status

NOT RENEWED

Business

First Name

STACY DIANE

Middle

AVELAR

Last Name

MANJARREZ

Business Name

STACY DIANE AVELAR MANJARREZ

Original Issue Date

09/22/2020

Effective Date

02/17/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022