IXTLA MELIZ NIETO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280666

License Status

NOT RENEWED

Business

First Name

IXTLA

Middle

MELIZ

Last Name

NIETO

Business Name

IXTLA MELIZ NIETO

Original Issue Date

03/25/2021

Effective Date

03/25/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022