LOURDES F CENTENO - Pharmacist License in Illinois | # 049163529

LOURDES F CENTENO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163529

License Status

NOT RENEWED

Business

N

First Name

LOURDES

Middle

F

Last Name

CENTENO

Business Name

LOURDES F CENTENO

Original Issue Date

09/06/2005

Effective Date

01/09/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021