TERESITA V LICUANAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036840

License Status

INACTIVE

Business

First Name

TERESITA V

Last Name

LICUANAN

Business Name

TERESITA V LICUANAN

Original Issue Date

11/10/1987

Effective Date

11/10/1987

Expiration Date

03/31/2002

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005