ILSE MICHELLE BRISENO - Pharmacist License in Illinois | # 049248006

ILSE MICHELLE BRISENO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248006

License Status

NOT RENEWED

Business

N

First Name

ILSE

Middle

MICHELLE

Last Name

BRISENO

Business Name

ILSE MICHELLE BRISENO

Original Issue Date

01/24/2017

Effective Date

01/24/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018