JAILEEN IVELISSE CRUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278124

License Status

NOT RENEWED

Business

First Name

JAILEEN

Middle

IVELISSE

Last Name

CRUZ

Business Name

JAILEEN IVELISSE CRUZ

Original Issue Date

12/17/2020

Effective Date

12/17/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021