KELLY A CAVAZOS - Pharmacist License in Illinois | # 049157379

KELLY A CAVAZOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157379

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

A

Last Name

CAVAZOS

Business Name

KELLY A CAVAZOS

Original Issue Date

10/07/2004

Effective Date

10/07/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006