DEIDRA VINCENT - Pharmacist License in Illinois | # 049064160

DEIDRA VINCENT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064160

License Status

NOT RENEWED

Business

N

First Name

DEIDRA

Last Name

VINCENT

Business Name

DEIDRA VINCENT

Original Issue Date

09/05/1975

Effective Date

09/05/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005