JOSE A SOUSA - Pharmacist License in Illinois | # 049057426

JOSE A SOUSA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057426

License Status

NOT RENEWED

Business

N

First Name

JOSE A

Last Name

SOUSA

Business Name

JOSE A SOUSA

Original Issue Date

02/18/1972

Effective Date

02/18/1972

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005