SR M IMELDA MORTELLARO - Pharmacist License in Illinois | # 049058670

SR M IMELDA MORTELLARO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058670

License Status

NOT RENEWED

Business

N

First Name

SR M IMELDA

Last Name

MORTELLARO

Business Name

SR M IMELDA MORTELLARO

Original Issue Date

11/04/1972

Effective Date

11/04/1972

Expiration Date

03/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005