TERESITA BUENVIA BASA - Pharmacist License in Illinois | # 049115219

TERESITA BUENVIA BASA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115219

License Status

NOT RENEWED

Business

N

First Name

TERESITA BUENVIA

Last Name

BASA

Business Name

TERESITA BUENVIA BASA

Original Issue Date

09/09/1996

Effective Date

09/09/1996

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005