UBIRASI BUSTAMANTE - Pharmacist License in Illinois | # 049200180

UBIRASI BUSTAMANTE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200180

License Status

NOT RENEWED

Business

N

First Name

UBIRASI

Last Name

BUSTAMANTE

Business Name

UBIRASI BUSTAMANTE

Original Issue Date

08/26/2010

Effective Date

08/26/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011