PAPA WIN DE LA CRUZ - Pharmacist License in Illinois | # 049108362

PAPA WIN DE LA CRUZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108362

License Status

NOT RENEWED

Business

N

First Name

PAPA

Middle

WIN

Last Name

DE LA CRUZ

Business Name

PAPA WIN DE LA CRUZ

Original Issue Date

10/03/1994

Effective Date

10/03/1994

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005