GAYLE CI TAKANISHI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039677

License Status

NOT RENEWED

Business

First Name

GAYLE CI

Last Name

TAKANISHI

Business Name

GAYLE CI TAKANISHI

Original Issue Date

02/11/1994

Effective Date

02/11/1994

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005