MYRALIZA MAMHOT ASO - Pharmacist License in Illinois | # 049117542

MYRALIZA MAMHOT ASO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117542

License Status

NOT RENEWED

Business

N

First Name

MYRALIZA

Middle

MAMHOT

Last Name

ASO

Business Name

MYRALIZA MAMHOT ASO

Original Issue Date

05/13/1997

Effective Date

05/13/1997

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005