TITA GLORIA ASUN BELEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027107

License Status

INACTIVE

Business

First Name

TITA GLORIA ASUN

Last Name

BELEN

Business Name

TITA GLORIA ASUN BELEN

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008