SHILPA BAXAMUSA - Pharmacist License in Illinois | # 049091191

SHILPA BAXAMUSA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091191

License Status

NOT RENEWED

Business

N

First Name

SHILPA

Last Name

BAXAMUSA

Business Name

SHILPA BAXAMUSA

Original Issue Date

09/21/1989

Effective Date

09/21/1989

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005