ANGEL CLYDE CAPULONG - Pharmacist License in Illinois | # 049115426

ANGEL CLYDE CAPULONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115426

License Status

NOT RENEWED

Business

N

First Name

ANGEL CLYDE

Last Name

CAPULONG

Business Name

ANGEL CLYDE CAPULONG

Original Issue Date

09/30/1996

Effective Date

09/30/1996

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005