ASA M CHURCH - Pharmacist License in Illinois | # 049226581

ASA M CHURCH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226581

License Status

NOT RENEWED

Business

N

First Name

ASA

Middle

M

Last Name

CHURCH

Business Name

ASA M CHURCH

Original Issue Date

07/19/2014

Effective Date

03/09/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016