EDIAN BANUELOS Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051303055

License Status

ACTIVE

Business

First Name

EDIAN

Last Name

BANUELOS

Prefix

Business Name

EDIAN BANUELOS

Original Issue Date

06/19/2020

Effective Date

01/06/2024

Expiration Date

03/31/2026

City

LAKEMOOR

State

Zip

60051

County

LAKE

Ever Disciplined

LastModifiedDate

01/30/2026