LESLY JACQUELINE AMEZCUA - Pharmacist License in Illinois | # 049273376

LESLY JACQUELINE AMEZCUA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273376

License Status

NOT RENEWED

Business

N

First Name

LESLY

Middle

JACQUELINE

Last Name

AMEZCUA

Business Name

LESLY JACQUELINE AMEZCUA

Original Issue Date

05/21/2020

Effective Date

03/05/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022