SURAFEL F BERESA - Pharmacist License in Illinois | # 049210929

SURAFEL F BERESA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210929

License Status

NOT RENEWED

Business

N

First Name

SURAFEL

Middle

F

Last Name

BERESA

Prefix

MR

Business Name

SURAFEL F BERESA

Original Issue Date

05/09/2012

Effective Date

02/05/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017